Provider Demographics
NPI:1184859936
Name:ACS CLINICAL SERVICES
Entity Type:Organization
Organization Name:ACS CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENT & QA OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WAKEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-223-0017
Mailing Address - Street 1:1547 STRONGS AVE
Mailing Address - Street 2:STE D
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-3566
Mailing Address - Country:US
Mailing Address - Phone:715-295-9618
Mailing Address - Fax:
Practice Address - Street 1:1547 STRONGS AVE
Practice Address - Street 2:STE D
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-3566
Practice Address - Country:US
Practice Address - Phone:715-295-9618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health