State of Wisconsin
State of Wisconsin is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
317 Knutson DrMadison, WI 53704-1133
Phone: (608) 301-9200
Fax: (608) 301-1811
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 2780 (WI) |
|---|
Record details
| NPI number | 1386705655 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walton Schalick — Medical Director · (609) 301-9231 |
| Other names | Central Wisconsin Center For The Developmentally Disabled |
| NPI enumerated | December 12, 2006 |
| Last updated in NPPES | December 10, 2024 |
| Certification date | December 10, 2024 |
| Mailing address | 317 Knutson Dr, Madison, WI 53704-1133 |
Other providers in Madison
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Accia Community Living LLC
4349 De Volis Pkwy, Madison, WI 53711-4819 · (571) 225-2443
-
State of Wisconsin
317 Knutson Dr, Madison, WI 53704-1133 · (608) 301-1946