| Bc Psychiatric Clinic | |
|
2010 Parkside Dr Janesville WI 53548-6613 | |
| (608) 436-6161 | |
| Not Available |
| Full Name | Bc Psychiatric Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2010 Parkside Dr, Janesville, Wisconsin |
| Authorized Official Name and Position | William Lee Hollingsworth (DIRECTOR) |
| Authorized Official Contact | 6084366161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bc Psychiatric Clinic 2010 Parkside Dr Janesville WI 53548-6613 Ph: (608) 436-6161 | Bc Psychiatric Clinic 2010 Parkside Dr Janesville WI 53548-6613 Ph: (608) 436-6161 |
| NPI Number | 1598149403 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598149403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 162 - 124, 366 - 125 (Wisconsin) | Secondary |
| 251S00000X | Community/behavioral Health | 3044- 123 (Wisconsin) | Primary |
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