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129 Hospital Dr Watertown WI 53098-3334 | |
| (920) 262-4800 | |
| (920) 262-4813 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 129 Hospital Dr, Watertown, Wisconsin |
| Authorized Official Name and Position | Robert James Kluge (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 9202624784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
129 Hospital Dr Watertown WI 53098-3334 Ph: (920) 262-4800 | 129 Hospital Dr Watertown WI 53098-3334 Ph: (920) 262-4800 |
| NPI Number | 1821086034 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821086034 | NPI | - | NPPES |
| 42169000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Serenity Mental Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N 3rd St Ste 112, Watertown, WI 53094 Phone: 920-248-0578 | |
Wisconsin Lutheran Child & Family Service, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Western Ave, Watertown, WI 53094 Phone: 800-438-1772 Fax: 262-345-5562 | |
Gymtastics, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 S 12th St, Watertown, WI 53094 Phone: 920-206-9323 Fax: 920-206-1056 | |
Bethel Counseling & Consultation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 2nd St, Watertown, WI 53094 Phone: 262-623-1033 |