Organization
COUNTY OF WAUSHARA
Active
Other names
Waushara County, Waushara Co Dept of Human Services, Waushara County Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEN GONZALES (ACCOUNT CLERK)
(920) 787-6550
Entity
Organization
Contact information
Practice address
380 S TOWNLINE RD, WAUTOMA, WI 54982-6900
(920) 787-6550
(920) 787-0421
Mailing address
205 W ELM ST, PO BOX 1230, WAUTOMA, WI 54982
(920) 787-6551
(920) 787-0465
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41762000
—
WI
Enumeration date
10/02/2007
Last updated
11/07/2024
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