Crisis Intervention Progam

LBN: County Of Dodge
Crisis Intervention Progam is an health care organization with primary practice located at 199 County Road Df 3Rd Floor , Juneau WI 53032-9512. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. County Of Dodge can be contacted via phone (920) 386-4094, or through Bell, Rebecca L via phone (920) 386-3534.

Contact Information

Primary practice address
199 County Road Df 3Rd Floor Juneau WI 53032-9512
Phone: (920) 386-4094
Fax: (920) 386-3812
Website:
Map and Directions
Authorized official contact:
Name: Bell, Rebecca L Licensed Clinical Social Worker (LCSW)
Phone: (920) 386-3534

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1282 Wisconsin

Profile Details

NPI number 1154589562
LBN Legal business name County Of Dodge
DBA Doing business as Crisis Intervention Progam
Authorized official Bell, Rebecca L Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Mar 16th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154589562 NPPES
Wisconsin MEDICAID 32981200

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