Organization
OCONOMOWOC COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. M DEBORAH FRISK MSW (VICE PRESIDENT)
26205695515
Entity
Organization
Contact information
Practice address
36100 GENESEE LAKE ROAD, OCONOMOWOC, WI 53066
(262) 569-5515
(262) 569-9962
Mailing address
PO BOX 278, DOUSMAN, WI 53118
(262) 569-5515
(262) 569-9962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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