Attic Correctional Services Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Appleton, WI
NPI 1013052299 · NPPES record last updated Sep 11, 2008
Key facts
- NPI
- 1013052299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 2608 (WI)
- Legal business name
- ATTIC CORRECTIONAL SERVICES INC.
- Practice address
- 720 W Washington St
Appleton, WI 54914-3805 - Phone
- (920) 830-1750
- Fax
- (920) 830-1770
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mark E Wakefield
- Title
- Development & Quality Assurance Off
- Phone
- (608) 223-0017
Corporate family (same tax ID) 8
Practitioners 1
-
Dawn Francis, CADC
National Provider Directory
- Tax ID family
- Attic Correctional Servcies
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 2608 | WI | Yes |
Addresses
Primary practice location
720 W Washington St
Appleton, WI 54914-3805
Mailing address
PO Box 7370
Madison, WI 53707-7370
Phone (608) 223-0017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42246700 | Medicaid | WI |
Other names
- ACS Clinical Services
Other providers in Appleton, WI
- Tara Lynn Atanasoff
- Athletico LTD
- Atlascare LLC
- Emmanuel Olisaemeka Attah
- Attic Correctional Services
- Attic Correctional Services, Inc.
- Audiology & Hearing Services Inc.
- Audiology and Hearing Services of the Fox Cities
- Nicole Lynn Augsburger
- Aurora Pharmacy Inc
All providers in Appleton, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.