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Organization
CRC HEALTH GROUP INC.
Active
Organization
CRC HEALTH GROUP INC.
Active
Other names
Beloit Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN ERIC POFAHL 11121132 (CSAC)
(608) 313-0425
Entity
Organization
Contact information
Practice address
929 SUFFOLK DR, JANESVILLE, WI 53546-1821
(608) 756-3546
Mailing address
929 SUFFOLK DR, JANESVILLE, WI 53546-1821
(608) 756-3546
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
2689
WI
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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