NPI 1154563641

Teipner Treatment Homes, INC

Organisation Foster Care Agency Jefferson, WI

Practice location

Address: 104 W Linden Dr STE a, Jefferson, WI 53549-2801
Phone: (920) 674-6688
Fax: (920) 674-6752
Mailing address: 104 W Linden Dr STE a PO Box 327, Jefferson, WI 53549-2801

Authorised official

Name: Patricia J Clark
Title: Director
Phone: (920) 674-6688

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 285040 (WI)

Other Foster Care Agency providers in Wisconsin →

Registry record

NPI: 1154563641
Entity type: Organization
NPI issued: 30 Mar 2009
Record last updated: 30 Mar 2009

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.