Professional Recovery Network in Waukesha - Substance Abuse Rehabilitation Facility
Professional Recovery Network - NPI 1811104995
Professional Recovery Network is a Substance Abuse Rehabilitation Facility in Waukesha, Wisconsin. Professional Recovery Network practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Professional Recovery Network is 1811104995. The last update date is 2020-08-22.
Professional Recovery Network's current location address is 2422 North Grandview Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625496600 and fax number 2625496698. The mailing address for Professional Recovery Network is 2422 North Grandview Blvd, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Recovery Network |
|---|---|
| Address | 2422 North Grandview Blvd, Waukesha, Wisconsin |
| Phone Number | 2625496600 |
| Fax Number | 2625496698 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Engel John Charles |
| Credentials | MD |
| Telephone Number | 2625496600 |
NPI Number Detail
| NPI Number | 1811104995 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2422 North Grandview Blvd |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 53188 |
| Phone Number | 2625496600 |
| Fax Number | 2625496698 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 1747 |
|
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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What is the Professional Recovery Network's 1811104995?
The Professional Recovery Network's NPI (National Provider Identifier) Number is 1811104995. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Professional Recovery Network is located?
The Professional Recovery Network is situated at the following address: 2422 North Grandview Blvd, Waukesha, WI, 53188.
What is the Professional Recovery Network's area of specialization and corresponding taxonomy classification?
The Professional Recovery Network's specialty field is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their specialties.
When was the Professional Recovery Network's 1811104995 issued?
The Professional Recovery Network's 1811104995 was issued on 2007-05-17.
When was the information related to Professional Recovery Network most recently updated or refreshed?
The details pertaining to the Professional Recovery Network, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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