Psychiatric Associates | |
200 Front St Suite 3d Beaver Dam WI 53916-1667 | |
(920) 885-2780 | |
(920) 885-2788 |
Full Name | Psychiatric Associates |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 200 Front St, Beaver Dam, Wisconsin |
Authorized Official Name and Position | James Salasek (CLINIC DIRECTOR) |
Authorized Official Contact | 9208852780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychiatric Associates 200 Front St Suite 3d Beaver Dam WI 53916-1667 Ph: (920) 885-2780 | Psychiatric Associates 200 Front St Suite 3d Beaver Dam WI 53916-1667 Ph: (920) 885-2780 |
NPI Number | 1700817657 |
---|---|
Provider Enumeration Date | 07/06/2006 |
Last Update Date | 09/04/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700817657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1753 (Wisconsin) | Primary |
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