Organization
COMMUNITY SUPPORT NETWORK, INC
Active
Other names
Collaborations
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH KORSOWER RAETTIG MSSW (EXECUTIVE DIRECTOR)
(608) 421-3239
Entity
Organization
Contact information
Practice address
1191 N SHERMAN AVE, MADISON, WI 53704-4234
(608) 421-3239
(608) 270-2238
Mailing address
1137 N SHERMAN AVE, MADISON, WI 53704-4234
(608) 421-3239
(608) 270-2238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3027
DEPARTMENT OF HEALTH SERVICES DQA
WI
Enumeration date
02/06/2014
Last updated
07/22/2014
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