Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 238 Front St, Cashton, Wisconsin |
Authorized Official Name and Position | Kimberly Hawthrone (CEO) |
Authorized Official Contact | 6086545100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 39 Cashton WI 54619-0039 Ph: (608) 654-5100 | 238 Front St Cashton WI 54619-2002 Ph: (608) 654-5100 |
NPI Number | 1518107366 |
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Provider Enumeration Date | 03/05/2009 |
Last Update Date | 09/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518107366 | NPI | - | NPPES |
32955800 | Medicaid | WI |