| Polk County Department Of Human Services | |
|
100 Polk County Plz Ste 50 Balsam Lake WI 54810-9097 | |
| (715) 485-8400 | |
| (715) 485-8490 |
| Full Name | Polk County Department Of Human Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Polk County Plz Ste 50, Balsam Lake, Wisconsin |
| Authorized Official Name and Position | Mary K Zachau (FISCAL MANAGER) |
| Authorized Official Contact | 7157267787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polk County Department Of Human Services 711 N Bridge St Rm 305 Chippewa Falls WI 54729-1845 Ph: (715) 726-7787 | Polk County Department Of Human Services 100 Polk County Plz Ste 50 Balsam Lake WI 54810-9097 Ph: (715) 485-8400 |
| NPI Number | 1154707974 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154707974 | NPI | - | NPPES |
| 3065 | Other | WI | STATE OF WISCONSIN CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3065 (Wisconsin) | Primary |
Tjzarn Ventures Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Main St Ste 205, Balsam Lake, WI 54810 Phone: 715-256-7559 Fax: 877-869-0712 |