Premier Care of Wisconsin, Llc.
NPI #1265143945 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1265143945
- 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
- 23 W SCOTT ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-2342
- Phone
- (920) 926-0101
Authorized Official
- Name
- CINDY GAITHER
- Title
- VICE PRESIDENT REVENUE CYCLE MANAGE
- 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 Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Methadone — Methadone |
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| Premier Care of Wisconsin, Llc. |  AI Deep Dive |
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