Organization
COUNTY OF BURNETT
Active
Other names
Dept of Health & Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY L CORNELISON (ADMINISTRATIVE ASSISTANT)
(715) 349-7600
Entity
Organization
Contact information
Practice address
7410 COUNTY ROAD K, SUITE 280, SIREN, WI 54872-9070
(715) 349-7600
(715) 349-2145
Mailing address
7410 COUNTY ROAD K, SUITE 280, SIREN, WI 54872-9070
(715) 349-7600
(715) 349-2145
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32978371
—
WI
05
—
43070700
—
WI
05
—
44000800
—
WI
Enumeration date
12/11/2008
Last updated
09/22/2011
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