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Organization

COUNTY OF OZAUKEE

Active
Other names
Ozaukee County Dept of Human Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LIZA J DRAKE LCSW (DIRECTOR)
(262) 284-8200
Entity
Organization

Contact information

Practice address
121 W MAIN ST, CSP/CI/CCS, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8104
Mailing address
121 W MAIN ST, CSP/CI/CCS, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8104

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43074600
WI
05
43421300
WI
Enumeration date
09/28/2006
Last updated
04/24/2017
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