Organization
NOVA COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA LARSON (EXECUTIVE DIRECTOR)
(920) 231-0143
Entity
Organization
Contact information
Practice address
3240 JACKSON ST, OSHKOSH, WI 54901-1208
(920) 231-0143
(920) 231-4246
Mailing address
3240 JACKSON ST, OSHKOSH, WI 54901-1208
(920) 231-0143
(920) 231-4246
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1710
WI
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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