County of Walworth

NPI #1588733307 in Elkhorn, Wisconsin

Provider Information

NPI Number: 1588733307
Entity Type: Organization
Organization Name: County of Walworth
Subpart: Yes (part of a larger organization)
Parent Organization: COUNTY OF WALWORTH
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 7, 2006
Last Updated: Aug 28, 2023

Practice Location

Address: 1910 COUNTY ROAD NN
City: Elkhorn
State: Wisconsin
ZIP Code: 53121-4454
Phone: (262) 741-3200

Authorized Official

Name: CARLO JON NEVICOSI, MSW, LCSW
Title: DIRECTOR
Phone: (262) 741-3200

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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