NPI 1295175065

Bethany Christian Services

Organisation Substance Abuse Rehabilitation Facility Oconomowoc, WI

Practice location

Address: 1331 Capitol Dr, Oconomowoc, WI 53066-5705
Phone: (262) 547-6557
Fax: (262) 547-3644

Authorised official

Name: Lisa Stoutmeyer
Title: Biller
Phone: (616) 224-7429

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 205-121 (WI)

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Registry record

NPI: 1295175065
Entity type: Organization
NPI issued: 26 Jun 2013
Record last updated: 12 Jul 2021

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.