| Psychiatric Associates | |
|
200 Front St Suite 3d Beaver Dam WI 53916-1667 | |
| (920) 885-2780 | |
| (920) 885-2788 |
| Full Name | Psychiatric Associates |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Front St, Beaver Dam, Wisconsin |
| Authorized Official Name and Position | James Salasek (CLINIC DIRECTOR) |
| Authorized Official Contact | 9208852780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Associates 200 Front St Suite 3d Beaver Dam WI 53916-1667 Ph: (920) 885-2780 | Psychiatric Associates 200 Front St Suite 3d Beaver Dam WI 53916-1667 Ph: (920) 885-2780 |
| NPI Number | 1700817657 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700817657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1753 (Wisconsin) | Primary |
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