| Arbor Place, Inc. | |
|
4076 Kothlow Ave Menomonie WI 54751-3090 | |
| (715) 235-4537 | |
| (715) 235-4535 |
| Full Name | Arbor Place, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4076 Kothlow Ave, Menomonie, Wisconsin |
| Authorized Official Name and Position | Jill Gamez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7152354537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arbor Place, Inc. 4076 Kothlow Ave Menomonie WI 54751-3090 Ph: (715) 235-4537 | Arbor Place, Inc. 4076 Kothlow Ave Menomonie WI 54751-3090 Ph: (715) 235-4537 |
| NPI Number | 1013458173 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013458173 | NPI | - | NPPES |
| 42148200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1050 (Wisconsin) | Primary |
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