Organization
BEAUTERRE RECOVERY INSTITUTE WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ASPER (DIRECTOR CONTRACTING)
(612) 454-2046
Entity
Organization
Contact information
Practice address
321 RIVERSIDE DR, PEWAUKEE, WI 53072-4612
(612) 454-2046
Mailing address
550 MAIN ST STE 190, NEW BRIGHTON, MN 55112-3271
(612) 454-2046
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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