Organization
LAFAYETTE COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C THOMAS MACDONALD (DIRECTOR)
(608) 776-4800
Entity
Organization
Contact information
Practice address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Mailing address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32980100
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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