Crc Wisconsin Rd LLC
NPI #1598920035 in Hudson, Wisconsin
Provider Information
- NPI Number
- 1598920035
- Entity Type
- Organization
- Organization Name
- Crc Wisconsin Rd LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CRC WISCONSIN RD LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 24, 2008
- Last Updated
- Oct 25, 2023
Practice Location
Authorized Official
- Name
- BRIAN P. FARLEY
- Title
- VICE PRESIDENT AND SECRETARY
- Phone
- (615) 861-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
Additional Practice Locations
594 Outpost Circle
Suite D & E
Hudson, WI, 54016
(715) 443-4291
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