# ECRK SPECIALIZED TREATMENT CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508455262
- **Authorized official:** INDER PAUL SINGH MD (OWNER)
- **Authorized official phone:** (262) 658-1937

## Contact information

- **Practice address:** 9916 75TH ST, KENOSHA, WI 53142-7583
- **Practice address phone:** (262) 658-1937
- **Mailing address:** 9916 75TH ST, KENOSHA, WI 53142-7583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 01/15/2021