Organization
ST. CROIX CHIPPEWA INDIANS OF WI
Active
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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