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Contact Information

CHILD & FAMILY THERAPEUTIC SYSTEMS S.C.
4811 S 76TH ST
SUITE 401
GREENFIELD, WI53220-4364
 Phone: 414-325-7741
 Fax: 414-325-7753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for CHILD & FAMILY THERAPEUTIC SYSTEMS S.C.

NPI # 1922176395
LBN Legal business name CHILD & FAMILY THERAPEUTIC SYSTEMS S.C.
Authorized official CARYN BUB-STANDAL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 09/26/2022 - About 4 years ago
Identifiers
WI License # 12701
WI License # 186-124
WI License # 2154-123
WI License # 2532-123
WI License # 2792-123
WI License # 471-124
WI License # 594-057
WI Medicaid 42201100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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