Janesville Psychiatric Clinic Daytreatment for Children

NPI #1578737706 in Janesville, Wisconsin

Provider Information

NPI Number
1578737706
Entity Type
Organization
Organization Name
Janesville Psychiatric Clinic Daytreatment for Children
Subpart
Yes (part of a larger organization)
Parent Organization
JANESVILLE PSYCHIATIC CLINIC MAIN INC
Primary Specialty
Counselor - Mental Health
Enumeration Date
Apr 18, 2008
Last Updated
Apr 18, 2008

Practice Location

Address
2640 MILTON AVE
ZIP Code
53545-0231
Phone
(608) 755-1475

Authorized Official

Name
MR. WILLIAM HOLLINGSWORTH
Title
DIRECTOR/OWNER
Phone
(608) 755-1475

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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