Campbell House LLC

NPI #1598186991 in Sauk City, Wisconsin

Provider Information

NPI Number: 1598186991
Entity Type: Organization
Organization Name: Campbell House LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 2, 2014
Last Updated: Jan 2, 2014

Practice Location

Address: 7197 LOPER RD
City: Sauk City
State: Wisconsin
ZIP Code: 53583-9552
Phone: (608) 643-3113

Authorized Official

Name: GRETCHEN TIMMERMAN
Title: ADMINISTRATOR
Phone: (608) 393-0707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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