| St. Croix Valley Restorative Justice Program, Inc. | |
|
215 N 2nd St Ste 108 River Falls WI 54022-3708 | |
| (715) 425-1100 | |
| (715) 425-1112 |
| Full Name | St. Croix Valley Restorative Justice Program, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 215 N 2nd St Ste 108, River Falls, Wisconsin |
| Authorized Official Name and Position | Susan M. Capparelli (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7154251100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Croix Valley Restorative Justice Program, Inc. 215 N 2nd St Ste 108 River Falls WI 54022-3708 Ph: (715) 425-1100 | St. Croix Valley Restorative Justice Program, Inc. 215 N 2nd St Ste 108 River Falls WI 54022-3708 Ph: (715) 425-1100 |
| NPI Number | 1760965024 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760965024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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