Premier Care of Wisconsin, Llc.

NPI #1720701949 in Madison, Wisconsin

Provider Information

NPI Number
1720701949
Entity Type
Organization
Organization Name
Premier Care of Wisconsin, Llc.
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Sep 22, 2022
Last Updated
Feb 10, 2024

Practice Location

Address
4802 E BROADWAY
ZIP Code
53716-4141
Phone
(608) 889-7500

Authorized Official

Name
CINDY GAITHER
Title
VICE PRESIDENT REVENUE CYCLE MGMT
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 DisorderRehabilitation, Substance Use Disorder
Clinic/Center - MethadoneMethadone

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