| Western Region Recovery & Wellness Consortia | |
|
3001 Us Highway 12 E Ste 160 Menomonie WI 54751-3045 | |
| (715) 232-1116 | |
| (715) 232-5987 |
| Full Name | Western Region Recovery & Wellness Consortia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3001 Us Highway 12 E Ste 160, Menomonie, Wisconsin |
| Authorized Official Name and Position | Mary K Zachau (FISCAL MANAGER) |
| Authorized Official Contact | 7157267787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Region Recovery & Wellness Consortia 711 N Bridge St Rm 305 Chippewa Falls WI 54729-1845 Ph: (715) 726-7787 | Western Region Recovery & Wellness Consortia 3001 Us Highway 12 E Ste 160 Menomonie WI 54751-3045 Ph: (715) 232-1116 |
| NPI Number | 1063898880 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063898880 | NPI | - | NPPES |
| 3065 | Other | WI | STATE OF WISCONSIN CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3065 (Wisconsin) | Primary |
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