| Janesville Psychiatric Clinic Daytreatment For Children | |
|
2640 Milton Ave Janesville WI 53545-0231 | |
| (608) 755-1475 | |
| (608) 755-1733 |
| Full Name | Janesville Psychiatric Clinic Daytreatment For Children |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2640 Milton Ave, Janesville, Wisconsin |
| Authorized Official Name and Position | William Hollingsworth (DIRECTOR/OWNER) |
| Authorized Official Contact | 6087551475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janesville Psychiatric Clinic Daytreatment For Children 2640 Milton Ave Janesville WI 53545-0231 Ph: (608) 755-1475 | Janesville Psychiatric Clinic Daytreatment For Children 2640 Milton Ave Janesville WI 53545-0231 Ph: (608) 755-1475 |
| NPI Number | 1578737706 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578737706 | NPI | - | NPPES |
| 43007200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1448 (Wisconsin) | Primary |
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