| St. Charles Youth & Family Services | |
|
301 Troy Dr Cottage A Madison WI 53704-1521 | |
| (608) 663-5913 | |
| (608) 663-5915 |
| Full Name | St. Charles Youth & Family Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 301 Troy Dr, Madison, Wisconsin |
| Authorized Official Name and Position | Scott Anthony Carpenter (VICE PRESIDENT) |
| Authorized Official Contact | 4144763710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Youth & Family Services 151 S 84th St Milwaukee WI 53214-1456 Ph: (414) 476-3710 | St. Charles Youth & Family Services 301 Troy Dr Cottage A Madison WI 53704-1521 Ph: (608) 663-5913 |
| NPI Number | 1861636672 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861636672 | NPI | - | NPPES |
| 43018000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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