Western Region Recovery & Wellness Consortia
NPI #1467997502 in Shell Lake, Wisconsin
Provider Information
- NPI Number
- 1467997502
- Entity Type
- Organization
- Organization Name
- Western Region Recovery & Wellness Consortia
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 28, 2016
- Last Updated
- Dec 28, 2016
Practice Location
- Address
- 110 4TH AVE W
- City
- Shell Lake
- State
- Wisconsin
- ZIP Code
- 54871-0250
- Phone
- (715) 468-4747
Authorized Official
- Name
- ASHLEY BAILEY, BS
- Title
- FISCAL MANAGER
- Phone
- (715) 726-7788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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