Organization
COUNTY OF WOOD
Active
Other names
BH Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON VRUWINK (DIRECTOR - HUMAN SERVICES)
(715) 421-8800
Entity
Organization
Contact information
Practice address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8800
(715) 421-2266
Mailing address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8845
(715) 421-2266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2019
WI
101YP2500X
Professional Counselor
Primary
2019
WI
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42140800
—
WI
Enumeration date
04/18/2007
Last updated
10/10/2025
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