| Organization Name: | COUNTY OF WOOD |
| NPI Number: | 1063638088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY L ROETTER (DEPUTY DIRECTOR) |
| Mailing Address: | 2611 12th St S Wisconsin Rapids |
| State: | WI US |
| Postal Code: | 544946445 |
| Phone Number: | 7154218800 |
| Fax Number: | 7154212266 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 03/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2019 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |