Organization
ALCOCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS S BOLAN (DIRECTOR)
(608) 751-1042
Entity
Organization
Contact information
Practice address
314 W COURT ST, JANESVILLE, WI 53548-3846
(608) 373-9650
(608) 754-2651
Mailing address
314 W COURT ST, JANESVILLE, WI 53548-3846
(608) 373-9650
(608) 754-2651
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316297492
—
WI
05
—
2978
—
WI
Enumeration date
09/15/2012
Last updated
10/08/2012
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