| Oconomowoc Community Services Llc | |
|
36100 Genesee Lake Road Oconomowoc WI 53066 | |
| (262) 569-5515 | |
| (262) 569-9962 |
| Full Name | Oconomowoc Community Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 36100 Genesee Lake Road, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | M Deborah Frisk (VICE PRESIDENT) |
| Authorized Official Contact | 26205695515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconomowoc Community Services Llc Po Box 278 Dousman WI 53118 Ph: (262) 569-5515 | Oconomowoc Community Services Llc 36100 Genesee Lake Road Oconomowoc WI 53066 Ph: (262) 569-5515 |
| NPI Number | 1790800076 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790800076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Mark H Rossing Mdsc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl, Suite 211, Oconomowoc, WI 53066 Phone: 262-567-1122 Fax: 262-567-1481 | |
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