Organization
COUNTY OF ROCK COUNTY CLERK
Active
Other names
Rock County Human Services Department Adolescent Services Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B JONES (ADMINISTRATIVE SERVICES MANAGER)
(608) 757-5204
Entity
Organization
Contact information
Practice address
3506 N US HIGHWAY 51, JANESVILLE, WI 53545-0726
(608) 757-5378
Mailing address
3530 N PARKER DR, JANESVILLE, WI 53545-0766
(608) 757-5378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42163600
—
WI
Enumeration date
04/08/2008
Last updated
12/31/2008
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