County of Trempealeau

NPI #1619935293 in Whitehall, Wisconsin

Provider Information

NPI Number
1619935293
Entity Type
Organization
Organization Name
County of Trempealeau
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF TREMPEALEAU
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
May 3, 2006
Last Updated
Apr 15, 2021

Practice Location

Address
W20410 STATE ROAD 121
ZIP Code
54773-9147
Phone
(715) 538-4312

Authorized Official

Name
JERRY DEETZ, N.H.A.
Title
EXECUTIVE DIRECTOR
Phone
(715) 538-4312

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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