NPI 1104207497

Platteville Family Resource Center

Organisation Mental Illness Community Based Residential Treatment Facility Platteville, WI

Practice location

Address: 155 W Lewis St, Platteville, WI 53818-2103
Phone: (608) 642-1563
Fax: (608) 348-4191
Mailing address: PO Box 36, Platteville, WI 53818-0036

Authorised official

Name: Marc Wruble
Title: Director
Phone: (608) 348-4060

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Wisconsin →

Registry record

NPI: 1104207497
Entity type: Organization
NPI issued: 12 Jun 2015
Record last updated: 4 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.