Premier Care of Wisconsin, Llc.

NPI #1215644356 in Pewaukee, Wisconsin

Provider Information

NPI Number
1215644356
Entity Type
Organization
Organization Name
Premier Care of Wisconsin, Llc.
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Oct 28, 2022
Last Updated
Sep 3, 2024

Practice Location

Address
1611 SILVERNAIL ROAD
ZIP Code
53072-5519
Phone
(262) 304-0150

Authorized Official

Name
CINDY GAITHER
Title
VP OF REVENUE CYCLE MANAGEMENT
Phone
(602) 248-8886

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Community/Behavioral Health
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
Clinic/Center - MethadoneMethadone

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