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514 Main St W Ashland WI 54806-1512 | |
| (715) 682-7171 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 514 Main St W, Ashland, Wisconsin |
| Authorized Official Name and Position | Michael Lang (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7156827171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
514 Main St W Ashland WI 54806-1512 Ph: (715) 682-7171 | 514 Main St W Ashland WI 54806-1512 Ph: (715) 682-7171 |
| NPI Number | 1003225228 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003225228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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