Organization
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Active
Other names
Pierce County Dept of Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K ZACHAU (FISCAL MANAGER)
(715) 726-7787
Entity
Organization
Contact information
Practice address
412 WEST KINNE STREET, ELLSWORTH, WI 54011-0670
(715) 273-6770
(715) 273-6862
Mailing address
711 N BRIDGE ST RM 305, CHIPPEWA FALLS, WI 54729-1845
(715) 726-7787
(715) 726-7836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3065
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3065
STATE OF WISCONSIN CERTIFICATION
WI
Enumeration date
08/04/2015
Last updated
08/04/2015
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