Organization
MENDOTA MENTAL HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J VAN RYBROECK PHD, JD (DIRECTOR)
(608) 301-1042
Entity
Organization
Contact information
Practice address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1504
(608) 301-1538
Mailing address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1504
(608) 301-1538
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
24251-020
WI
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
10/27/2020
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