County of Trempealeau

NPI #1295783124 in Whitehall, Wisconsin

Provider Information

NPI Number: 1295783124
Entity Type: Organization
Organization Name: County of Trempealeau
Subpart: Yes (part of a larger organization)
Parent Organization: COUNTY OF TREMPEALEAU
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 4, 2006
Last Updated: Apr 15, 2021

Practice Location

Address: 18425 DODGE ST
City: Whitehall
State: Wisconsin
ZIP Code: 54773-8444
Phone: (715) 538-4518

Authorized Official

Name: JERRY DEETZ, N.H.A.
Title: EXECUTIVE DIRECTOR
Phone: (715) 538-4312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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