institution
Brotoloc South, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Whitewater, Wisconsin
NPI 1407185325

Brotoloc South, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Whitewater, WI and is specialized in Mental Health (Including Community Mental Health Center). Brotoloc South, Inc. practices in Whitewater, WI. The NPI Number for Brotoloc South, Inc. is 1407185325 and holds a License No. 1115 (Wisconsin).

The current practice location address for Brotoloc South, Inc. is 209 S Taft St, Whitewater, WI and can be reached out via phone at 262-473-0480 and via fax at 262-473-0484.

Location: 209 S Taft St, Whitewater, WI, 53190-2139
institution
Provider Profile Details
NPI Number
1407185325
Provider Name
Brotoloc South, Inc.
Credential
Provider Entity Type
Organization
Address
209 S Taft St, Whitewater, WI, 53190-2139
Phone Number
262-473-0480
Fax Number
262-473-0484
Provider Enumeration Date
12/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42181100 05 WI
institution
Provider Business Practice Location Address Details
Address
209 S Taft St
City
State
Zip
53190-2139
Phone Number
262-473-0480
Fax Number
262-473-0484
person
Provider Business Mailing Address Details
Address
209 S Taft St
City
State
Zip
53190-2139
Phone Number
262-473-0480
Fax Number
262-473-0484
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
1115 (Wisconsin)
Definition
Definition to come...
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