Organization
BLANDINE HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES COLWIN (EXECUTIVE DIRECTOR)
(920) 922-9487
Entity
Organization
Contact information
Practice address
25 N PARK AVE, FOND DU LAC, WI 54935-3501
(920) 922-9487
(920) 922-9184
Mailing address
25 N PARK AVE, FOND DU LAC, WI 54935-3501
(920) 922-9487
(920) 922-9184
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1068-800
WI
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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