Organization
JANESVILLE PSYCHIATRIC CLINIC OF MAIN
Active
Parent organization
JANESVILLE PSYCHIATRIC CLINIC
Other names
BC Psychiatric Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JANESVILLE PSYCHIATRIC CLINIC
Authorized official
MR. WILLIAM LEE HOLLINGSWORTH MS (DIRECTOR)
(608) 436-6161
Entity
Organization
Contact information
Practice address
2010 PARKSIDE DR, JANESVILLE, WI 53548-6613
(608) 436-6161
Mailing address
2010 PARKSIDE DR, JANESVILLE, WI 53548-6613
(608) 436-6161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
162 - 124, 366 - 125
WI
251S00000X
Community/Behavioral Health Agency
Primary
3044- 123
WI
Other
Enumeration date
07/10/2015
Last updated
07/20/2015
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