North Central Region Ccs Program

NPI #1043727936 in Medford, Wisconsin

Provider Information

NPI Number
1043727936
Entity Type
Organization
Organization Name
North Central Region Ccs Program
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 2, 2018
Last Updated
Jan 16, 2018

Practice Location

Address
540 COLLEGE ST
ZIP Code
54451-2027
Phone
(715) 748-3332

Authorized Official

Name
RHONDA RUDOLPH
Title
BUSINESS MANAGER
Phone
(715) 748-3332

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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