A Brush With Hope | |
2976 Triverton Pike Dr Ste 110 Fitchburg WI 53711-5840 | |
(262) 719-6569 | |
Not Available |
Full Name | A Brush With Hope |
---|---|
Speciality | Community/behavioral Health |
Location | 2976 Triverton Pike Dr Ste 110, Fitchburg, Wisconsin |
Authorized Official Name and Position | Kristen L. Vesbach (OWNER) |
Authorized Official Contact | 2627196569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Brush With Hope 2976 Triverton Pike Dr Ste 110 Fitchburg WI 53711-5840 Ph: (262) 719-6569 | A Brush With Hope 2976 Triverton Pike Dr Ste 110 Fitchburg WI 53711-5840 Ph: (262) 719-6569 |
NPI Number | 1457891012 |
---|---|
Provider Enumeration Date | 03/01/2017 |
Last Update Date | 03/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457891012 | NPI | - | NPPES |
1336416635 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 5219-125 (Wisconsin) | Primary |
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