Crc Wisconsin Rd LLC

NPI #1861773863 in Hudson, Wisconsin

Provider Information

NPI Number: 1861773863
Entity Type: Organization
Organization Name: Crc Wisconsin Rd LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Sep 2, 2011
Last Updated: Apr 20, 2023

Practice Location

Address: 615 OLD MILL RD
City: Hudson
State: Wisconsin
ZIP Code: 54016-6959
Phone: (715) 386-6125

Authorized Official

Name: CHRISTOPHER HOWARD
Title: VICE PRESIDENT AND SECRETARY
Phone: (615) 861-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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