Organization Name: | ADAMS COUNTY HEALTH AND HUMAN SERVICES |
NPI Number: | 1912228487 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHIL ROBINSON (CLINICAL SUPERVISOR) |
Mailing Address: | 108 E North St Friendship |
State: | WI US |
Postal Code: | 539349443 |
Phone Number: | 6083394505 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2010 |
NPI Last Update Date: | 06/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 15906-130 |
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: |