| Kenosha County Department Of Human Services | |
|
8600 Sheridan Road Suite 100 Kenosha WI 53143-6507 | |
| (262) 605-6524 | |
| (262) 697-4655 |
| Full Name | Kenosha County Department Of Human Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8600 Sheridan Road, Kenosha, Wisconsin |
| Authorized Official Name and Position | Dennis R. Schultz (DIRECTOR) |
| Authorized Official Contact | 2626056524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenosha County Department Of Human Services 8600 Sheridan Road Suite 100 Kenosha WI 53143-6507 Ph: (262) 605-6524 | Kenosha County Department Of Human Services 8600 Sheridan Road Suite 100 Kenosha WI 53143-6507 Ph: (262) 605-6524 |
| NPI Number | 1083806731 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083806731 | NPI | - | NPPES |
| 43090400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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