Rock County Human Services Department Adolescent Services Center | |
3506 N Us Highway 51 Janesville WI 53545-0726 | |
(608) 757-5378 | |
Not Available |
Full Name | Rock County Human Services Department Adolescent Services Center |
---|---|
Speciality | Community/behavioral Health |
Location | 3506 N Us Highway 51, Janesville, Wisconsin |
Authorized Official Name and Position | Michael B Jones (ADMINISTRATIVE SERVICES MANAGER) |
Authorized Official Contact | 6087575204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rock County Human Services Department Adolescent Services Center 3530 N Parker Dr Janesville WI 53545-0766 Ph: (608) 757-5378 | Rock County Human Services Department Adolescent Services Center 3506 N Us Highway 51 Janesville WI 53545-0726 Ph: (608) 757-5378 |
NPI Number | 1386817757 |
---|---|
Provider Enumeration Date | 04/08/2008 |
Last Update Date | 12/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386817757 | NPI | - | NPPES |
42163600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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