Organization
AMS OF WISCONSIN-JANESVILLE, LLC
Active
Parent organization
AMS OF WISCONSIN, LLC
Other names
AMS of Janesville, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMS OF WISCONSIN, LLC
Authorized official
GEORGE MICHAEL ERRICO (PRESIDENT)
(727) 301-3070
Entity
Organization
Contact information
Practice address
1312 BARBERRY DR STE 110, JANESVILLE, WI 53545-0589
(608) 758-1944
(608) 758-1960
Mailing address
1312 BARBERRY DR STE 110, JANESVILLE, WI 53545-0589
(608) 758-1944
(608) 758-1960
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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