| A Brush With Hope | |
|
2976 Triverton Pike Dr Ste 110 Fitchburg WI 53711-5840 | |
| (262) 719-6569 | |
| Not Available |
| Full Name | A Brush With Hope |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2976 Triverton Pike Dr Ste 110, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Kristen L. Vesbach (OWNER) |
| Authorized Official Contact | 2627196569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Brush With Hope 2976 Triverton Pike Dr Ste 110 Fitchburg WI 53711-5840 Ph: (262) 719-6569 | A Brush With Hope 2976 Triverton Pike Dr Ste 110 Fitchburg WI 53711-5840 Ph: (262) 719-6569 |
| NPI Number | 1457891012 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 03/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457891012 | NPI | - | NPPES |
| 1336416635 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5219-125 (Wisconsin) | Primary |
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