| Rock County Human Services Department Adolescent Services Center | |
|
3506 N Us Highway 51 Janesville WI 53545-0726 | |
| (608) 757-5378 | |
| Not Available |
| Full Name | Rock County Human Services Department Adolescent Services Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3506 N Us Highway 51, Janesville, Wisconsin |
| Authorized Official Name and Position | Michael B Jones (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Contact | 6087575204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock County Human Services Department Adolescent Services Center 3530 N Parker Dr Janesville WI 53545-0766 Ph: (608) 757-5378 | Rock County Human Services Department Adolescent Services Center 3506 N Us Highway 51 Janesville WI 53545-0726 Ph: (608) 757-5378 |
| NPI Number | 1386817757 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 12/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386817757 | NPI | - | NPPES |
| 42163600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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