Organization
MENTAL HEALTH CENTER OF DANE COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN NEITZEL (REVENUE CYCLE MANAGER)
(608) 280-2678
Entity
Organization
Contact information
Practice address
1848 HWY MM, CAMBODIAN TEMPLE, FITCHBURG, WI 53575-2117
(608) 280-2700
Mailing address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42216100
—
WI
Enumeration date
06/30/2011
Last updated
11/19/2013
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