The Human Service Center Koinonia Residential Treatment Center
NPI #1932301306 in Rhinelander, Wisconsin
Provider Information
- NPI Number
- 1932301306
- Entity Type
- Organization
- Organization Name
- The Human Service Center Koinonia Residential Treatment Center
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1991 WINNEBAGO STREET
- City
- Rhinelander
- State
- Wisconsin
- ZIP Code
- 54501
- Phone
- (715) 362-5745
Authorized Official
- Name
- MR. PATRICK NORBERT BENNETT, CLINICAL SUBSTANCE A
- Title
- AODA ADMINISTRATOR
- Phone
- (715) 362-5745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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