| Children's Service Society Of Wisconsin | |
|
2004 Highland Ave Ste M Eau Claire WI 54701-4389 | |
| (715) 835-5915 | |
| (715) 835-8112 |
| Full Name | Children's Service Society Of Wisconsin |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2004 Highland Ave Ste M, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Marnie Hersrud (AREA SUPERVISOR) |
| Authorized Official Contact | 7158355915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Society Of Wisconsin 2004 Highland Ave Ste M Eau Claire WI 54701-4389 Ph: (715) 835-5915 | Children's Service Society Of Wisconsin 2004 Highland Ave Ste M Eau Claire WI 54701-4389 Ph: (715) 835-5915 |
| NPI Number | 1184896920 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184896920 | NPI | - | NPPES |
| 42126300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1186 (Wisconsin) | Primary |
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