AMS OF WISCONSIN-JANESVILLE LLC NPI 1578234902

NPI Information

AMS OF WISCONSIN-JANESVILLE, LLC is a mental health (including community mental health center) clinic center in Janesville, WI. AMS OF WISCONSIN-JANESVILLE, LLC NPI is 1578234902. The provider is registered as an organization entity type.

The provider's business location address is:

1312 BARBERRY DR STE 110
JANESVILLE, WI
ZIP 53545-589
Phone: (608) 758-1944
Fax: (608) 758-1960

The provider's authorized official is George Michael Errico .
The authorized official title is President and has the following contact phone number (727) 301-3070.

The CLIA number assigned to this NPI record is 52D2246146 - other - opiod treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2021 and was last updated on 9/24/2021.

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:

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