NPI 1104984558

Clinicare Corporation

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Prairie Du Chien, WI

Practice location

Address: 601 S Beaumont Rd, Prairie Du Chien, WI 53821-1909
Phone: (608) 326-6481
Fax: (608) 326-6166
Mailing address: 601 S Beaumont Rd PO Box 269, Prairie Du Chien, WI 53821-1909

Authorised official

Name: Mary Beth Specht
Title: Director
Phone: (608) 326-6481

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Wisconsin →

Registry record

NPI: 1104984558
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 1 May 2013

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.