institution
Jefferson County
Mental Health Clinic/Center (Including Community Mental Health Center) in Jefferson, Wisconsin
NPI 1578562286

Jefferson County is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Jefferson, WI and is specialized in Mental Health (Including Community Mental Health Center). Jefferson County practices in Jefferson, WI. The NPI Number for Jefferson County is 1578562286 and holds a License No. 1449 (Wisconsin).

The current practice location address for Jefferson County is 1541 Annex Rd, Jefferson, WI and can be reached out via phone at 920-674-3105 and via fax at 920-674-6113.

Location: 1541 Annex Rd, Jefferson, WI, 53549-9803
institution
Provider Profile Details
NPI Number
1578562286
Provider Name
Jefferson County
Credential
Provider Entity Type
Organization
Address
1541 Annex Rd, Jefferson, WI, 53549-9803
Phone Number
920-674-3105
Fax Number
920-674-6113
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4333090001 01 WI MEDICARE DMERC
525700 01 WI DEAN HEALTH PLAN
20141600 05 WI
42138100 05 WI
institution
Provider Business Practice Location Address Details
Address
1541 Annex Rd
City
State
Zip
53549-9803
Phone Number
920-674-3105
Fax Number
920-674-6113
person
Provider Business Mailing Address Details
Address
1541 Annex Rd
City
State
Zip
53549-9803
Phone Number
920-674-3105
Fax Number
920-674-6113
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.
1449 (Wisconsin)
Definition
Definition to come...
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