| Attic Correctional Servcies | |
|
1699 Schofield Ave Ste 116 Schofield WI 54476-2377 | |
| (715) 355-0671 | |
| Not Available |
| Full Name | Attic Correctional Servcies |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1699 Schofield Ave Ste 116, Schofield, Wisconsin |
| Authorized Official Name and Position | Mark Wakefield (DEVELOPMENT QUALITY ASSURANCE OFFIC) |
| Authorized Official Contact | 6082230017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Attic Correctional Servcies 601 Atlas Ave Madison WI 53714-3181 Ph: (608) 223-0017 | Attic Correctional Servcies 1699 Schofield Ave Ste 116 Schofield WI 54476-2377 Ph: (715) 355-0671 |
| NPI Number | 1598058562 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598058562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15641-131 (Wisconsin) | Primary |
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