Organization
CATHOLIC CHARITIES INC DIOCESE OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY MEDENWALDT (EXECUTIVE DIRECTOR OF PROGRAMS)
(608) 826-8000
Entity
Organization
Contact information
Practice address
702 S HIGH POINT RD STE 201, MADISON, WI 53719-4926
(608) 826-8000
(608) 826-8026
Mailing address
702 S HIGH POINT RD STE 201, MADISON, WI 53719-4926
(608) 826-8000
(608) 826-8026
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4211-0000
—
WI
Enumeration date
07/18/2006
Last updated
09/19/2023
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