Provider Demographics
NPI:1043985062
Name:RAPE CRISIS CENTER INC
Entity type:Organization
Organization Name:RAPE CRISIS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MARESSA
Authorized Official - Last Name:PELLEBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-575-1074
Mailing Address - Street 1:2801 COHO ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1486
Mailing Address - Country:US
Mailing Address - Phone:608-251-5126
Mailing Address - Fax:
Practice Address - Street 1:2801 COHO ST STE 301
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-1486
Practice Address - Country:US
Practice Address - Phone:608-251-5126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty