Organization
COUNSELING & DEVELOPMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG ENGFER (DIRECTOR)
(715) 339-3048
Entity
Organization
Contact information
Practice address
171 CHESTNUT STREET, PHILLIPS, WI 54555
(715) 339-3048
Mailing address
171 CHESTNUT STREET, PO BOX 71, PHILLIPS, WI 54555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2053
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43425100
—
WI
Enumeration date
05/19/2008
Last updated
05/19/2008
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