Catholic Charities Of The Archdiocese Of Milwaukee Inc | |
503 Wisconsin Ave Sheboygan WI 53081-4147 | |
(920) 458-5727 | |
(920) 458-5826 |
Full Name | Catholic Charities Of The Archdiocese Of Milwaukee Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 503 Wisconsin Ave, Sheboygan, Wisconsin |
Authorized Official Name and Position | Julie A Bush (BILLING MANAGER) |
Authorized Official Contact | 2626378888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Catholic Charities Of The Archdiocese Of Milwaukee Inc 503 Wisconsin Ave Sheboygan WI 53081-4147 Ph: (920) 458-5727 | Catholic Charities Of The Archdiocese Of Milwaukee Inc 503 Wisconsin Ave Sheboygan WI 53081-4147 Ph: (920) 458-5727 |
NPI Number | 1013990407 |
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Provider Enumeration Date | 11/21/2005 |
Last Update Date | 05/10/2021 |
Certification Date | 05/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013990407 | NPI | - | NPPES |
42128600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1133 (Wisconsin) | Primary |
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