Waushara County

NPI #1598938557 in Wautoma, Wisconsin

Provider Information

NPI Number: 1598938557
Entity Type: Organization
Organization Name: Waushara County
Subpart: Yes (part of a larger organization)
Parent Organization: WAUSHARA COUNTY CLINICAL SERVICES
Primary Specialty: Community/Behavioral Health
Enumeration Date: Apr 10, 2008
Last Updated: Dec 29, 2014

Practice Location

Address: 230 W PARK STREET
City: Wautoma
State: Wisconsin
ZIP Code: 54982-9031
Phone: (920) 787-6550

Authorized Official

Name: VICTORIA L IDA
Title: ACCOUNT CLERK
Phone: (920) 787-6618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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