Organization · Type 2 NPI

James Broecker PA

Community/Behavioral Health Agency · Hudson, WI

NPI number 1619090669 Active

Practice location

901 Dominion Dr, Hudson Counseling
Hudson, WI 54016-9326

Fax (715) 531-6761

Mailing address

2806 Itasca Ave S
Lakeland, MN 55043-9741

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

4 other providers at this address

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About NPI 1619090669

James Broecker PA's National Provider Identifier is 1619090669, issued on Apr 6, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Hudson, WI. The record was last updated on Jan 10, 2011.