Organization Name: | HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY |
NPI Number: | 1023126364 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY BEZUCHA (CEO) |
Mailing Address: | 1100 Lake View Dr Wausau |
State: | WI US |
Postal Code: | 544036785 |
Phone Number: | 7158484600 |
Fax Number: | 7158455398 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 1677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |