| Janesville Psychiatric Clinic Main Inc | |
|
15 W Milwaukee St Suite 206 & 207 Janesville WI 53548-2998 | |
| (608) 755-1475 | |
| (608) 755-1733 |
| Full Name | Janesville Psychiatric Clinic Main Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15 W Milwaukee St, Janesville, Wisconsin |
| Authorized Official Name and Position | William Hollingsworth (CLINIC 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 Main Inc 15 W Milwaukee St Suite 206 & 207 Janesville WI 53548-2998 Ph: (608) 755-1475 | Janesville Psychiatric Clinic Main Inc 15 W Milwaukee St Suite 206 & 207 Janesville WI 53548-2998 Ph: (608) 755-1475 |
| NPI Number | 1659447704 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659447704 | NPI | - | NPPES |
| 1659447704 | Medicaid | WI | |
| 42123800 | Medicaid | WI | |
| 43007200 | Medicaid | WV |
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