| Recovery Network, Inc | |
|
1314 W National Ave Milwaukee WI 53204-2114 | |
| (414) 647-9930 | |
| (414) 647-9931 |
| Full Name | Recovery Network, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1314 W National Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | James W Valona Ii (PRESIDENT-RECOVERY NETWORK, INC) |
| Authorized Official Contact | 4144030232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Network, Inc 1314 W National Ave Milwaukee WI 53204-2114 Ph: (414) 647-9930 | Recovery Network, Inc 1314 W National Ave Milwaukee WI 53204-2114 Ph: (414) 647-9930 |
| NPI Number | 1427367085 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427367085 | NPI | - | NPPES |
| 4223950 | Medicaid | WI | |
| 42239521 | Medicaid | WI | |
| 39179200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2569 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2569 (Wisconsin) | Primary |
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