Group Health Cooperative of South Central Wi - Autism

NPI #1871334045 in Madison, Wisconsin

Provider Information

NPI Number: 1871334045
Entity Type: Organization
Organization Name: Group Health Cooperative of South Central Wi - Autism
Subpart: Yes (part of a larger organization)
Parent Organization: GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 3, 2024
Last Updated: Jun 3, 2024

Practice Location

Address: 675 W WASHINGTON AVE
City: Madison
State: Wisconsin
ZIP Code: 53703-2637
Phone: (608) 257-9700

Authorized Official

Name: BRUCE QUADE
Title: CHIEF FINANCIAL OFFICER
Phone: (608) 251-4156

Specialties & Taxonomy Codes

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

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