Organization Name: | AIDS RESOURCE CENTER OF WISCONSIN, INC. |
NPI Number: | 1447543434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN HALLBERG (VICE PRESIDENT & CFO) |
Mailing Address: | 1105 Grand Ave Suite 1 Schofield |
State: | WI US |
Postal Code: | 544761168 |
Phone Number: | 7153556867 |
Fax Number: | 7153550640 |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |