The Family Resource Group

NPI #1023261211 in Madison, Wisconsin

Provider Information

NPI Number: 1023261211
Entity Type: Organization
Organization Name: The Family Resource Group
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 31, 2008
Last Updated: Oct 31, 2008

Practice Location

Address: 313 PRICE PL STE 11
City: Madison
State: Wisconsin
ZIP Code: 53705-3250
Phone: (608) 575-7518

Authorized Official

Name: MR. DENNIS JOSEPH VANDERMAUSE, LCSW
Title: CLINICAL SOCIAL WORKER
Phone: (608) 575-7518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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