Organization
BIRCH TREE MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA HODGSON (LCSW)
(608) 609-0139
Entity
Organization
Contact information
Practice address
6200 NESBITT RD, FITCHBURG, WI 53719-1949
(608) 609-0139
Mailing address
6200 NESBITT RD, FITCHBURG, WI 53719-1949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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