Organization
CLARK COUNTY
Active
Other names
Clark County Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
SUE VOIGT (DIRECTOR)
(715) 743-5198
Entity
Organization
Contact information
Practice address
517 COURT ST RM 503, NEILLSVILLE, WI 54456-1976
(715) 743-5208
(715) 743-5209
Mailing address
517 COURT ST RM 503, NEILLSVILLE, WI 54456-1976
(715) 743-5208
(715) 743-5209
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1201
WI
251S00000X
Community/Behavioral Health Agency
1202
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1201
WI
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42122800
—
WI
Enumeration date
05/01/2007
Last updated
11/17/2023
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