Northstar Day Treatment | |
700 Ray O Vac Dr Ste 10 Madison WI 53711-2480 | |
(608) 270-1960 | |
(608) 270-1965 |
Full Name | Northstar Day Treatment |
---|---|
Speciality | Counselor - Mental Health |
Location | 700 Ray O Vac Dr Ste 10, Madison, Wisconsin |
Authorized Official Name and Position | Heatehr Patti (OFFICE MANAGER) |
Authorized Official Contact | 6082701960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northstar Day Treatment 700 Ray O Vac Dr Ste 10 Madison WI 53711-2480 Ph: (608) 270-1960 | Northstar Day Treatment 700 Ray O Vac Dr Ste 10 Madison WI 53711-2480 Ph: (608) 270-1960 |
NPI Number | 1841360401 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841360401 | NPI | - | NPPES |
43001500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1685 (Wisconsin) | Primary |
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