THEDACARE INCORPORATED NPI 1306959515

NPI Information

THEDACARE, INCORPORATED is a counselor in Menasha, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. THEDACARE, INCORPORATED NPI is 1306959515. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thedacare Behavioral Health.

The provider's business location address is:

1095 MIDWAY RD
MENASHA, WI
ZIP 54952-115
Phone: (920) 720-2300

The provider's authorized official is William Flett .
The authorized official title is Cfo and has the following contact phone number (920) 454-4013.

The CLIA number assigned to this NPI record is 52D2183831 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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