| The Grief Center | |
|
5395 E Cheryl Pkwy Fitchburg WI 53711-5395 | |
| (608) 276-4660 | |
| (608) 327-7268 |
| Full Name | The Grief Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5395 E Cheryl Pkwy, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Sarah J Bealles (CFO) |
| Authorized Official Contact | 6083277002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grief Center 5395 E Cheryl Pkwy Fitchburg WI 53711-5395 Ph: (608) 276-4660 | The Grief Center 5395 E Cheryl Pkwy Fitchburg WI 53711-5395 Ph: (608) 276-4660 |
| NPI Number | 1396911541 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396911541 | NPI | - | NPPES |
| 42187700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1913 (Wisconsin) | Primary |
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