Agnesian Healthcare
NPI #1700817657 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1700817657
- Entity Type
- Organization
- Organization Name
- Agnesian Healthcare
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Sep 4, 2007
Practice Location
- Address
- 200 FRONT ST
- Address 2
- SUITE 3D
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-1667
- Phone
- (920) 885-2780
Authorized Official
- Name
- DR. JAMES SALASEK, PHD
- Title
- CLINIC DIRECTOR
- Phone
- (920) 885-2780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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