| NPI | 1386719177 |
|---|---|
| Doing Business As | LSS JANESVILLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TARA TREGLOWNE COO 414-246-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-01-06 |