Organization
KENOSHA COUNTY DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS R SCHULTZ (DIRECTOR)
(262) 605-6524
Entity
Organization
Contact information
Practice address
8600 SHERIDAN ROAD, SUITE 100, KENOSHA, WI 53143-6507
(262) 605-6524
(262) 697-4655
Mailing address
8600 SHERIDAN ROAD, SUITE 100, KENOSHA, WI 53143-6507
(262) 605-6524
(262) 697-4655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41761000
—
WI
05
—
41761100
—
WI
Enumeration date
08/20/2007
Last updated
08/20/2007
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