| Strides Equestrian Therapeutic Center Llc | |
|
W6769 Colby Factory Rd Greenwood WI 54437-9010 | |
| (715) 316-7704 | |
| Not Available |
| Full Name | Strides Equestrian Therapeutic Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | W6769 Colby Factory Rd, Greenwood, Wisconsin |
| Authorized Official Name and Position | Jason R Lenz (MEMBER/OWNER) |
| Authorized Official Contact | 7153167704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strides Equestrian Therapeutic Center Llc W6769 Colby Factory Rd Greenwood WI 54437-9010 Ph: (715) 316-7704 | Strides Equestrian Therapeutic Center Llc W6769 Colby Factory Rd Greenwood WI 54437-9010 Ph: (715) 316-7704 |
| NPI Number | 1740804491 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740804491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |