Fond Du Lac County Dcp Ccs Program

NPI #1679746630 in Fond Du Lac, Wisconsin

Provider Information

NPI Number
1679746630
Entity Type
Organization
Organization Name
Fond Du Lac County Dcp Ccs Program
Subpart
Yes (part of a larger organization)
Parent Organization
FOND DU LAC COUNTY
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 10, 2008
Last Updated
Apr 10, 2008

Practice Location

Address
459 E 1ST ST
ZIP Code
54935-4505
Phone
(920) 929-3500

Authorized Official

Name
RUTH RYAN
Title
BUSINESS SYSTEMS MANAGER
Phone
(920) 929-3437

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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