Organization
ALCOCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHANE BOLAN CAPSW (DIRECTOR)
(608) 751-1042
Entity
Organization
Contact information
Practice address
786 S MAIN ST, JANESVILLE, WI 53545-4852
(608) 754-6800
(608) 754-2651
Mailing address
786 S MAIN ST, JANESVILLE, WI 53545-4852
(608) 754-6800
(608) 754-2651
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1023
WI
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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