St. Charles Youth & Family Services in Madison - Community Based Residential Treatment Facility, Mental Illness
St. Charles Youth & Family Services - NPI 1578730412
St. Charles Youth & Family Services is a Community Based Residential Treatment Facility, Mental Illness in Madison, Wisconsin. St. Charles Youth & Family Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for St. Charles Youth & Family Services is 1578730412. The last update date is 2008-05-09.
St. Charles Youth & Family Services's current location address is 310 Troy Dr, Madison, Wisconsin. You can contact this provider via phone number 6086635910. The mailing address for St. Charles Youth & Family Services is 310 Troy Dr, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Charles Youth & Family Services |
|---|---|
| Address | 310 Troy Dr, Madison, Wisconsin |
| Phone Number | 6086635910 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Connolly Catherine |
| Telephone Number | 4144763710 |
NPI Number Detail
| NPI Number | 1578730412 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 310 Troy Dr |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53704 |
| Phone Number | 6086635910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 1011445 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43009100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St. Charles Youth & Family Services by the Centers for Medicare & Medicaid Services?
The St. Charles Youth & Family Services has been issued the NPI (National Provider Identifier) 1578730412, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where St. Charles Youth & Family Services's facilities are situated?
The facilities of St. Charles Youth & Family Services are physically located at the following address: 310 Troy Dr, Madison, WI, 53704.
What is the St. Charles Youth & Family Services's area of specialization and corresponding taxonomy classification?
The St. Charles Youth & Family Services's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1578730412 to St. Charles Youth & Family Services?
The St. Charles Youth & Family Services received its 1578730412 assignment from the Centers for Medicare & Medicaid Services on 2008-05-09.
As of what date were the details related to St. Charles Youth & Family Services most recently updated or revised?
The information pertaining to St. Charles Youth & Family Services, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-09.