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Organization
INNOVATIVE RECOVERY NETWORK OF WISCONSIN LLC
Active
Organization
INNOVATIVE RECOVERY NETWORK OF WISCONSIN LLC
Active
Other names
Innovative Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HEGEL (PRESIDENT)
(414) 383-4432
Entity
Organization
Contact information
Practice address
1314 W NATIONAL AVE, MILWAUKEE, WI 53204-2114
(414) 383-4432
(414) 383-4482
Mailing address
1314 W NATIONAL AVE, MILWAUKEE, WI 53204-2114
(414) 383-4432
(414) 383-4482
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
2961
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/06/2011
Last updated
05/08/2012
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