Organization
FAMILY SERVICE MADISON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIGID OKEEFE (CREDENTIAL COORDINATOR)
(608) 316-1186
Entity
Organization
Contact information
Practice address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713-1467
(608) 316-1186
(608) 252-1333
Mailing address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713-1467
(608) 316-1186
(608) 252-1333
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42106700
—
WI
05
—
43006500
—
WI
Enumeration date
05/07/2007
Last updated
07/21/2022
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