Organization Name: | SAMARITAN COUNSELING CENTER |
NPI Number: | 1205077427 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN K FEASTER (DIRECTOR) |
Mailing Address: | 5900 Monona Dr., Suite 100 Water Tower Place Monona |
State: | WI US |
Postal Code: | 537163556 |
Phone Number: | 6086630763 |
Fax Number: | 6086630765 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 03/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 150-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |