Organization
METRO TREATMENT OF WI, LP
Active
Parent organization
METRO TREATMENT OF WI, LP
Other names
Eau Claire Metro Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO TREATMENT OF WI, LP
Authorized official
MR. RODNEY WILLIAMS (CFO)
(407) 351-7080
Entity
Organization
Contact information
Practice address
2000 OXFORD AVE, BLDG. 2, MAILBOX 4, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Mailing address
2500 MAITLAND CENTER PARKWAY, SUITE 250, MAITLAND, FL 32751-4174
(407) 351-7080
(407) 351-6930
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2537
WI
261QM2800X
Methadone Clinic
2537
WI
261QM2800X
Methadone Clinic
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42030900
—
WI
05
—
42241000
—
WI
Enumeration date
05/14/2007
Last updated
08/15/2019
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