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Organization

PRODUCTION FARM, INC.

Active
Other names
The Production Farm, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MUSE PATRICK SEYMOUR (MANAGING DIRECTOR & CFO)
(920) 288-1965
Entity
Organization

Contact information

Practice address
9003 POLIFKA RD, WHITELAW, WI 54247-9782
(920) 403-0021
Mailing address
2668 STONEGATE DR, SUAMICO, WI 54313-8123

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
225X00000X
Occupational Therapist
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/08/2020
Last updated
08/11/2021
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