Crc Wisconsin Rd Llc in Hudson - Substance Abuse Rehabilitation Facility
Crc Wisconsin Rd Llc - NPI 1598920035
Crc Wisconsin Rd Llc is a Substance Abuse Rehabilitation Facility in Hudson, Wisconsin. Crc Wisconsin Rd Llc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Crc Wisconsin Rd Llc is 1598920035. The last update date is 2023-10-25.
Crc Wisconsin Rd Llc's current location address is 615 Old Mill Road, Hudson, Wisconsin. You can contact this provider via phone number 7153866125 and fax number 7153810158. The mailing address for Crc Wisconsin Rd Llc is 615 Old Mill Road, Hudson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crc Wisconsin Rd Llc |
|---|---|
| Address | 615 Old Mill Road, Hudson, Wisconsin |
| Phone Number | 7153866125 |
| Fax Number | 7153810158 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Farley P. Brian |
| Telephone Number | 6158616000 |
NPI Number Detail
| NPI Number | 1598920035 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2023-10-25 |
Provider Mailing Address Detail
| Address | 615 Old Mill Road |
|---|---|
| City | Hudson |
| State | Wisconsin (WI) |
| Post Code | 540166959 |
| Phone Number | 7153866125 |
| Fax Number | 7153810158 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 12365 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Post Comment/ Review Below
What is the Crc Wisconsin Rd Llc's unique identification number?
The Crc Wisconsin Rd Llc has been assigned the NPI (National Provider Identifier) Number 1598920035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Crc Wisconsin Rd Llc's physical address?
The Crc Wisconsin Rd Llc is physically located at 615 Old Mill Road, in the city of Hudson, WI, with the postal code 540166959.
What is Crc Wisconsin Rd Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crc Wisconsin Rd Llc's specialized field of practice is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of specialization is 324500000X.
On what date did the Crc Wisconsin Rd Llc receive the assignment of its 1598920035 from the Centers for Medicare & Medicaid Services?
The Crc Wisconsin Rd Llc was issued its 1598920035 by the Centers for Medicare & Medicaid Services on 2008-07-24.
When was the information regarding Crc Wisconsin Rd Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Crc Wisconsin Rd Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-25.
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