| Northland Community Services Csp | |
|
161 Spring St Westfield WI 53964-9068 | |
| (608) 296-2139 | |
| Not Available |
| Full Name | Northland Community Services Csp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 161 Spring St, Westfield, Wisconsin |
| Authorized Official Name and Position | Jon S Matthew (DIRECTOR) |
| Authorized Official Contact | 6082962139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Community Services Csp 161 Spring St Westfield WI 53964-9068 Ph: (608) 296-2139 | Northland Community Services Csp 161 Spring St Westfield WI 53964-9068 Ph: (608) 296-2139 |
| NPI Number | 1285892224 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285892224 | NPI | - | NPPES |
| 43422100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2262 (Wisconsin) | Primary |
Northland Community Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 161 Spring St, Westfield, WI 53964 Phone: 608-296-2139 Fax: 608-296-1590 | |
Northland Community Services Crisis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Spring St, Westfield, WI 53964 Phone: 608-296-2139 | |
Northland Community Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Spring St, Westfield, WI 53964 Phone: 608-296-2139 Fax: 608-296-1590 |