| Transitions Center Llc | |
|
22 N Pelham St Rhinelander WI 54501-3148 | |
| (715) 365-6696 | |
| (715) 365-6768 |
| Full Name | Transitions Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22 N Pelham St, Rhinelander, Wisconsin |
| Authorized Official Name and Position | Richard Wayne Martin (DIRECTOR/OWNER) |
| Authorized Official Contact | 7153656696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Center Llc Po Box 622 Rhinelander WI 54501-0622 Ph: (715) 365-6696 | Transitions Center Llc 22 N Pelham St Rhinelander WI 54501-3148 Ph: (715) 365-6696 |
| NPI Number | 1427088749 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427088749 | NPI | - | NPPES |
| 42244000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4249-123 (Wisconsin) | Primary |
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