Provider Demographics
NPI:1407086267
Name:BROWN COUNTY FAMILY SERVICES
Entity Type:Organization
Organization Name:BROWN COUNTY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RADEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-359-6503
Mailing Address - Street 1:1117 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3255
Mailing Address - Country:US
Mailing Address - Phone:507-354-8246
Mailing Address - Fax:507-359-6542
Practice Address - Street 1:1117 CENTER ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-3255
Practice Address - Country:US
Practice Address - Phone:507-354-8246
Practice Address - Fax:507-359-6542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN153544251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management