| The Family Resource Group | |
|
313 Price Pl Ste 11 Madison WI 53705-3250 | |
| (608) 575-7518 | |
| Not Available |
| Full Name | The Family Resource Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 313 Price Pl Ste 11, Madison, Wisconsin |
| Authorized Official Name and Position | Dennis Joseph Vandermause (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6085757518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Resource Group 313 Price Pl Ste 11 Madison WI 53705-3250 Ph: (608) 575-7518 | The Family Resource Group 313 Price Pl Ste 11 Madison WI 53705-3250 Ph: (608) 575-7518 |
| NPI Number | 1023261211 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023261211 | NPI | - | NPPES |
| 42219100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2249 (Wisconsin) | Primary |
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