| Bethany Christian Services | |
|
1331 Capitol Dr Oconomowoc WI 53066-5705 | |
| (262) 547-6557 | |
| (262) 547-3644 |
| Full Name | Bethany Christian Services |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1331 Capitol Dr, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Lisa Stoutmeyer (BILLER) |
| Authorized Official Contact | 6162247429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Christian Services 1331 Capitol Dr Oconomowoc WI 53066-5705 Ph: (262) 547-6557 | Bethany Christian Services 1331 Capitol Dr Oconomowoc WI 53066-5705 Ph: (262) 547-6557 |
| NPI Number | 1295175065 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295175065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 205-121 (Wisconsin) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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