Organization
WESETERN REGION RECOVERY & WELLNESS CONSORTIA
Active
Other names
County of Burnett
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BRENNER BS (SENIOR FISCAL MANAGER)
(715) 726-7810
Entity
Organization
Contact information
Practice address
7410 COUNTY ROAD K, SIREN, WI 54872-9043
(715) 349-7600
(715) 349-2145
Mailing address
711 N BRIDGE ST RM 305, CHIPPEWA FALLS, WI 54729-1845
(715) 726-7810
(715) 726-7736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3065
STATE OF WISCONSIN CERTIFICATION
WI
Enumeration date
08/29/2019
Last updated
08/29/2019
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