Greenbush Oaks, INC

NPI #1316190010 in Poynette, Wisconsin

Provider Information

NPI Number: 1316190010
Entity Type: Organization
Organization Name: Greenbush Oaks, INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 415 N MAIN ST STE 3
City: Poynette
State: Wisconsin
ZIP Code: 53955-8963
Phone: (608) 635-2146

Authorized Official

Name: LORIE A GOESER, CSAC
Title: OWNER
Phone: (608) 635-2146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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