Acs Clinical Services | |
720 W Washington St Appleton WI 54914-3805 | |
(920) 830-1750 | |
(920) 830-1770 |
Full Name | Acs Clinical Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 720 W Washington St, Appleton, Wisconsin |
Authorized Official Name and Position | Mark E Wakefield (DEVELOPMENT & QUALITY ASSURANCE OFF) |
Authorized Official Contact | 6082230017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Acs Clinical Services Po Box 7370 Madison WI 53707-7370 Ph: (608) 223-0017 | Acs Clinical Services 720 W Washington St Appleton WI 54914-3805 Ph: (920) 830-1750 |
NPI Number | 1013052299 |
---|---|
Provider Enumeration Date | 02/21/2007 |
Last Update Date | 09/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013052299 | NPI | - | NPPES |
42246700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2608 (Wisconsin) | Primary |
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