JANESVILLE PSYCHIATRIC CLINIC OF MAIN

JANESVILLE, WI
NPI1598149403
Doing Business AsBC PSYCHIATRIC CLINIC
Entity TypeOrganization
Authorized ContactWILLIAM LEE HOLLINGSWORTH
Director
608-436-6161
Organization Subpart ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: WI  3044- 123)
Additional Taxonomies251S00000X Community/Behavioral Health
(Licence: WI  162 - 124, 366 - 125)
Enumeration Date2015-07-10
Last Update Date2015-07-20
Business Address
JANESVILLE PSYCHIATRIC CLINIC OF MAIN
2010 PARKSIDE DR
JANESVILLE, WI 53548-6613
Phone number: 608-436-6161
Mailing Address
JANESVILLE PSYCHIATRIC CLINIC OF MAIN
2010 PARKSIDE DR
JANESVILLE, WI 53548-6613
Phone number: 608-436-6161