Organization
IMPACT COUNSELING SERVICES, LLC
Active
Other names
ICS-Family Partners
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A HINZ (BUSINESS MANAGER)
(715) 634-0607
Entity
Organization
Contact information
Practice address
306 STATE HIGHWAY 70 E, SAINT GERMAIN, WI 54558-8800
(715) 479-8999
Mailing address
15655 COUNTY ROAD B, P.O. BOX 13251, HAYWARD, WI 54843-3251
(715) 634-0607
(715) 634-0617
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
42221700
WI
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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