Bethany Christian Services | |
1331 Capitol Dr Oconomowoc WI 53066-5705 | |
(262) 547-6557 | |
(262) 547-3644 |
Full Name | Bethany Christian Services |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 1331 Capitol Dr, Oconomowoc, Wisconsin |
Authorized Official Name and Position | Lisa Stoutmeyer (BILLER) |
Authorized Official Contact | 6162247429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bethany Christian Services 1331 Capitol Dr Oconomowoc WI 53066-5705 Ph: (262) 547-6557 | Bethany Christian Services 1331 Capitol Dr Oconomowoc WI 53066-5705 Ph: (262) 547-6557 |
NPI Number | 1295175065 |
---|---|
Provider Enumeration Date | 06/26/2013 |
Last Update Date | 07/12/2021 |
Certification Date | 07/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295175065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 205-121 (Wisconsin) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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› Verified 6 days ago
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