St Clare Center

NPI 1124094263 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1124094263
Enumeration Date 02/28/2006
Last Updated 07/01/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SANDRA L SANDRA
Position PRESIDENT
Phone (608) 356-1400
Fax
Practice Location
707 14TH ST
BARABOO WI, 53913-1539, US
Phone (608) 356-1400
Fax
Business Location
707 14TH ST
BARABOO WI, 53913-1539, US
Phone (608) 356-1400
Fax
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, St Clare Center NPI is 1124094263, taxonomy code is 324500000X St Clare Center physically located at 707 14th St, Baraboo WI, 53913-1539. NPI Number 1033115704 has the healthcare provider type.

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1124094263 NPI number is provided on an as is basis without warranty of any kind. 1124094263 is maintained by the National Plan & Provider Enumeration System. The contents of St Clare Center are for informational purposes only.