NPI | 1598149403 |
---|---|
Doing Business As | BC PSYCHIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM LEE HOLLINGSWORTH Director 608-436-6161 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: WI 3044- 123) |
Additional Taxonomies | 251S00000X (Licence: WI 162 - 124, 366 - 125) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2015-07-20 |