NPI 1619935293

County of Trempealeau

Organisation Psychiatric Residential Treatment Facility Whitehall, WI

Practice location

Address: W20410 State Road 121, Whitehall, WI 54773-9147
Phone: (715) 538-4312
Fax: (715) 538-2426

Authorised official

Name: Jerry Deetz
Title: Executive Director
Phone: (715) 538-4312

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 5001 (WI)

Other Psychiatric Residential Treatment Facility providers in Wisconsin →

Registry record

NPI: 1619935293
Entity type: Organization
NPI issued: 3 May 2006
Record last updated: 15 Apr 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.