Jefferson County

NPI #1578562286 in Jefferson, Wisconsin

Provider Information

NPI Number: 1578562286
Entity Type: Organization
Organization Name: Jefferson County
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 15, 2005
Last Updated: Oct 11, 2011

Practice Location

Address: 1541 ANNEX RD
City: Jefferson
State: Wisconsin
ZIP Code: 53549-9803
Phone: (920) 674-3105

Authorized Official

Name: KATHLEEN M CAULEY
Title: DIRECTOR
Phone: (920) 674-8111

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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