Organization
COUNTY OF TREMPEALEAU
Active
Parent organization
COUNTY OF TREMPEALEAU
Other names
TCHCC Farnam
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF TREMPEALEAU
Authorized official
JERRY DEETZ N.H.A. (EXECUTIVE DIRECTOR)
(715) 538-4312
Entity
Organization
Contact information
Practice address
18425 DODGE ST, WHITEHALL, WI 54773-8444
(715) 538-4518
(715) 538-4535
Mailing address
W20410 STATE ROAD 121, WHITEHALL, WI 54773-9147
(715) 538-4312
(715) 538-2426
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CBRF474
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0603500000
FARNAM CBRF COTTAGE
WI
01
—
0624000000
FARNAM CBRF HOUSE
WI
Enumeration date
05/04/2006
Last updated
04/15/2021
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