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Organization

THE FAMILY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BETTY RYGIEWICZ RN, LMFT (CLINIC DIRECTOR)
(608) 663-4364
Entity
Organization

Contact information

Practice address
8025 EXCELSIOR DR, MADISON, WI 53717-1900
(608) 663-6154
Mailing address
8025 EXCELSIOR DR, MADISON, WI 53717-1900
(608) 663-6154

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1155-226
WI
251S00000X
Community/Behavioral Health Agency
Primary
951124
WI

Other

Enumeration date
10/18/2013
Last updated
10/18/2013
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