Organization
CIVITAS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN FITZPATRICK MS (OWNER)
(608) 620-1831
Entity
Organization
Contact information
Practice address
660 W WASHINGTON AVE STE 310, MADISON, WI 53703-4703
(949) 620-1831
Mailing address
660 W WASHINGTON AVE STE 310, MADISON, WI 53703-4703
(949) 620-1831
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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