Organization
COUNTY OF GRANT
Active
Other names
Unified Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAN SUDMEIER BS (COMPTROLLER)
(608) 723-6357
Entity
Organization
Contact information
Practice address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
(608) 723-4417
Mailing address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
(608) 723-4417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41215000
—
WI
05
—
42127200
—
WI
05
—
43420600
—
WI
Enumeration date
05/20/2006
Last updated
04/23/2009
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