Premier Care of Wisconsin, Llc.

NPI #1518706159 in Milwaukee, Wisconsin

Provider Information

NPI Number
1518706159
Entity Type
Organization
Organization Name
Premier Care of Wisconsin, Llc.
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
May 22, 2024
Last Updated
Sep 27, 2024

Practice Location

Address
2970 S CHASE AVE # 2974
ZIP Code
53207-6407
Phone
(414) 905-3100

Authorized Official

Name
ALEX G VILCHIS
Title
CRED MANAGER
Phone
(602) 248-8886

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
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 - MethadoneMethadone

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