Brotoloc South, Inc.
NPI #1407185325 in Whitewater, Wisconsin
Provider Information
- NPI Number
- 1407185325
- Entity Type
- Organization
- Organization Name
- Brotoloc South, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BROTOLOC SOUTH, INC.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Dec 24, 2009
- Last Updated
- Apr 15, 2010
Practice Location
- Address
- 209 S TAFT ST
- City
- Whitewater
- State
- Wisconsin
- ZIP Code
- 53190-2139
- Phone
- (262) 473-0480
Authorized Official
- Name
- NANCY SCHNEIDER
- Title
- DIRECTOR
- Phone
- (262) 473-0480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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