Provider Demographics
NPI:1437221686
Name:MIDWEST CENTER FOR HUMAN SERVICES LLP
Entity Type:Organization
Organization Name:MIDWEST CENTER FOR HUMAN SERVICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DSW
Authorized Official - Phone:608-231-3300
Mailing Address - Street 1:313 PRICE PLACE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-3250
Mailing Address - Country:US
Mailing Address - Phone:608-231-3300
Mailing Address - Fax:608-231-0644
Practice Address - Street 1:313 PRICE PLACE
Practice Address - Street 2:SUITE 10
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-3250
Practice Address - Country:US
Practice Address - Phone:608-231-3300
Practice Address - Fax:608-231-0644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty