Organization
PHOENIX ALTERNATIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE GRUENWALD M.S., LCSW (CLINICAL MENTAL HEALTH DIRECTOR)
(715) 830-8270
Entity
Organization
Contact information
Practice address
1692 HIGHWAY 53 NORTH, CHIPPEWA FALLS, WI 54729
(715) 830-8270
(715) 830-8272
Mailing address
1692 HIGHWAY 53 NORTH, CHIPPEWA FALLS, WI 54729
(715) 830-8270
(715) 830-8272
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2602
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43008500
—
WI
Enumeration date
02/06/2008
Last updated
02/06/2008
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