Organization
CAMPBELL HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN TIMMERMAN (ADMINISTRATOR)
(608) 393-0707
Entity
Organization
Contact information
Practice address
7197 LOPER RD, SAUK CITY, WI 53583-9552
(608) 643-3113
Mailing address
7197 LOPER RD, SAUK CITY, WI 53583-9552
(608) 643-3113
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0014785
WI
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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