Organization
WASHINGTON COUNTY COMMUNITY RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM STRACHOTA (DIRECTOR)
(262) 335-4558
Entity
Organization
Contact information
Practice address
333 E WASHINGTON ST, SUITE 2100, WEST BEND, WI 53095-2585
(262) 335-4558
(262) 335-6827
Mailing address
333 E WASHINGTON ST, SUITE 2100, WEST BEND, WI 53095-2585
(262) 335-4558
(262) 335-6827
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100011896
—
WI
Enumeration date
11/05/2010
Last updated
11/05/2010
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