Organization
COMMUNITY SUPPORT CENTER OF RUSK COUNTY
Active
Parent organization
COMMUNITY SUPPORT CENTER OF RUSK COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY SUPPORT CENTER OF RUSK COUNTY
Authorized official
MS. PAMELA MARIE OLSON LICENSED CLINICAL SO (DIRECTOR OWNER CLINICAL COORDINATOR)
(715) 403-0860
Entity
Organization
Contact information
Practice address
219 W 2ND STR N, LADYSMITH, WI 54848
(715) 532-5940
(715) 532-5947
Mailing address
548 N LAKE AVE, PHILLIPS, WI 54555
(715) 339-6449
(715) 339-6450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
75314459
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43429800
—
WI
Enumeration date
05/13/2008
Last updated
11/18/2008
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