Premier Care of Wisconsin, Llc.

NPI #1114638806 in South Milwaukee, Wisconsin

Provider Information

NPI Number
1114638806
Entity Type
Organization
Organization Name
Premier Care of Wisconsin, Llc.
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Dec 13, 2022
Last Updated
Feb 10, 2024

Practice Location

Address
1333 COLLEGE AVE STE M1
ZIP Code
53172-1150
Phone
(414) 775-2500

Authorized Official

Name
CINDY GAITHER
Title
VICE PRESIDENT REVENUE CYCLE MGMT
Phone
(602) 248-8886

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Community/Behavioral Health
Clinic/Center - MethadoneMethadone

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