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Organization

FOND DU LAC COUNTY DCP CRISIS (NON-BILLABLE)

Active
Parent organization
FOND DU LAC COUNTY
Organization subpart
Yes

Provider details

NPI number
Legal business name
FOND DU LAC COUNTY
Authorized official
RUTH A RYAN (BUSINESS SYSTEMS MANAGER)
(920) 929-3437
Entity
Organization

Contact information

Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32975670
WI
Enumeration date
05/08/2008
Last updated
05/08/2008
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