Organization
GENESEE COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BLASCHKO (DIRECTOR)
(262) 569-5510
Entity
Organization
Contact information
Practice address
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066-9201
(262) 569-5510
(262) 569-5513
Mailing address
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066-9201
(262) 569-5510
(262) 569-5513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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