Organization Name: | FAMILY RESOURCES ASSOCIATES INC |
NPI Number: | 1497960645 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN L SCHMIDT (OFFICE MANAGER) |
Mailing Address: | 331 N Main Street Lake Mills |
State: | WI US |
Postal Code: | 53551 |
Phone Number: | 9202614100 |
Fax Number: | 9202618801 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |