Organization
COUNTY OF WAUSHARA
Active
Other names
Waushara County, Waushara County Crisis Intervention, Waushara County Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEN GONZALES (ACCOUNT CLERK)
(920) 787-6550
Entity
Organization
Contact information
Practice address
380 S TOWNLINE RD, WAUTOMA, WI 54982-6900
(920) 787-6550
(920) 787-0421
Mailing address
PO BOX 1230, WAUTOMA, WI 54982-1230
(920) 787-6618
(920) 787-6670
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1980
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32976900
—
WI
Enumeration date
04/29/2008
Last updated
11/07/2024
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