| Organization Name: | COMMUNITY SERVICE ASSOCIATES SC |
| NPI Number: | 1306069398 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKI L HELLENBRAND (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 23295 Us Hwy 14 Richland Center |
| State: | WI US |
| Postal Code: | 535818911 |
| Phone Number: | 6086474705 |
| Fax Number: | 6086478979 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 11/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 1424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |