Midwest Detox LLC
NPI #1831895341 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1831895341
- Entity Type
- Organization
- Organization Name
- Midwest Detox LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 13850 W CAPITOL DR
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-2422
- Phone
- (414) 930-1930
Authorized Official
- Name
- MEIR KASNETT
- Title
- OWNER
- Phone
- (216) 372-6643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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