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Organization

PHOENIX COUNSELING

Active
Parent organization
WHITING MAINTENANCE SYSTEMS, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
WHITING MAINTENANCE SYSTEMS, INC.
Authorized official
NATE L WHITING MA, LPC, CSAC (PRESIDENT)
(715) 296-3840
Entity
Organization

Contact information

Practice address
64 S 4TH ST, BARRON, WI 54812-1503
(715) 537-5610
(715) 637-5749
Mailing address
64 S 4TH ST, P.O. BOX 142, BARRON, WI 54812-1503
(715) 537-5610
(715) 637-5749

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
15915-132
WI
324500000X
Substance Abuse Rehabilitation Facility
Primary
6013-125
WI

Other

Enumeration date
07/11/2016
Last updated
08/02/2016
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