Organization
TRIVIUM LLC
Active
Other names
CROSSROADS COUNSELING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PERRY LCSW, LMFT (ADMINISTRATOR)
(608) 755-5260
Entity
Organization
Contact information
Practice address
778 LOIS DR, SUN PRAIRIE, WI 53590-1100
(608) 837-9112
Mailing address
17 S RIVER ST, SUITE 254, JANESVILLE, WI 53548-3860
(608) 755-5260
(608) 755-5267
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2868
WI
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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