Oconomowoc Community Services LLC
NPI #1790800076 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1790800076
- Entity Type
- Organization
- Organization Name
- Oconomowoc Community Services LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 36100 GENESEE LAKE ROAD
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066
- Phone
- (262) 569-5515
Authorized Official
- Name
- MS. M DEBORAH FRISK, MSW
- Title
- VICE PRESIDENT
- Phone
- 26205695515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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