Provider Demographics
NPI:1407178403
Name:ACHIEVING COLLABORATIVE TREATMENT
Entity Type:Organization
Organization Name:ACHIEVING COLLABORATIVE TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:S
Authorized Official - Last Name:NONEMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-443-7032
Mailing Address - Street 1:200 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-9124
Mailing Address - Country:US
Mailing Address - Phone:608-497-3230
Mailing Address - Fax:608-497-3231
Practice Address - Street 1:200 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-9124
Practice Address - Country:US
Practice Address - Phone:608-497-3230
Practice Address - Fax:608-497-3231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health