Exodus Transitional Care Facility Inc.

NPI #1710304878 in Kewaskum, Wisconsin

Provider Information

NPI Number
1710304878
Entity Type
Organization
Organization Name
Exodus Transitional Care Facility Inc.
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Mar 26, 2014
Last Updated
Mar 12, 2021

Practice Location

Address
1421 FOND DU LAC AVE
ZIP Code
53040-9136
Phone
(626) 626-4166

Authorized Official

Name
MRS. CHERYL E COLWIN
Title
CLINICAL SUPERVISOR/DIRECTOR
Phone
(262) 626-4166

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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