Organization
COUNTY OF SHAWANO
Active
Other names
Shawano County DHS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KANE (DIRECTOR)
(715) 526-4700
Entity
Organization
Contact information
Practice address
W7327 ANDERSON AVE, SHAWANO, WI 54166-1143
(715) 526-4700
(715) 526-5542
Mailing address
W7327 ANDERSON AVE, SHAWANO, WI 54166-1143
(715) 526-4700
(715) 526-5542
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1831
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42132800
—
WI
Enumeration date
05/29/2008
Last updated
05/13/2025
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