Community Service Associates, Sc

NPI #1780610923 in Portage, Wisconsin

Provider Information

NPI Number: 1780610923
Entity Type: Organization
Organization Name: Community Service Associates, Sc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 22, 2006
Last Updated: Jul 25, 2024

Practice Location

Address: 2901 HUNTERS TRL
City: Portage
State: Wisconsin
ZIP Code: 53901-3403
Phone: (608) 742-5518

Authorized Official

Name: SHERRY D STEVENS
Title: CREDENTIALING DEPT/BUSINESS MANAGER
Phone: (608) 742-5518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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