Organization
ST. CROIX CHIPPEWA INDIANS OF WI
Active
Other names
STCTX
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MEINBURG (EXECUTIVE DIRECTOR)
(715) 619-0015
Entity
Organization
Contact information
Practice address
361 175TH AVE, TURTLE LAKE, WI 54889-9142
(715) 619-0015
Mailing address
361 175TH AVE, TURTLE LAKE, WI 54889-9142
(715) 619-0015
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/06/2022
Last updated
03/28/2024
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