Organization · NPI-2

Attic Correctional Services INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Appleton, WI

NPI number1013052299
StatusActive
Last updated in NPPESSep 11, 2008

Details

NPI
1013052299
Entity type
Organization (NPI-2)
Legal business name
Attic Correctional Services INC.
Organization subpart
No
Enumeration date
Feb 21, 2007
Last updated
Sep 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)2608WIYes

Other names

  • Acs Clinical Services (Other Name)

Practice location

720 W Washington St
Appleton, WI 54914-3805

Phone 920-830-1750 · Fax 920-830-1770

Mailing address

Po Box 7370
Madison, WI 53707-7370

Phone 608-223-0017 · Fax 608-223-0019

Authorized official

Mark E Wakefield
Development & Quality Assurance Off
6082230017

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