Organization
RACINE COUNTY HUMAN SERVICES DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA J JOSSART (DIRECTOR)
(262) 638-6646
Entity
Organization
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6353
(262) 638-6378
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6353
(262) 638-6378
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43075100
—
WI
Enumeration date
08/05/2007
Last updated
08/05/2007
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