Ssm Health Treatment And Recovery Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Baraboo, WI. Organization (NPI-2).
NPI number1124094263
StatusActive
Last updated in NPPESMay 9, 2017
Details
- NPI
- 1124094263
- Entity type
- Organization (NPI-2)
- Legal business name
- Ssm Health Treatment And Recovery Center
- Organization subpart
- Yes
- Enumeration date
- Feb 28, 2006
- Last updated
- May 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
1510 Jefferson StBaraboo, WI 53913-1505
Phone 608-356-1533
Mailing address
1510 Jefferson StBaraboo, WI 53913-1505
Phone 608-356-1533
Authorized official
Troy L Walker
Director Of Finance
6083561400
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