Organization
WAKODA TRAILS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE L SCHARDT CTRI (OWNER/OPERATOR/INSTRUCTOR)
(920) 590-1397
Entity
Organization
Contact information
Practice address
7425 RED BANKS RD, GILLETT, WI 54124-9749
(920) 590-1397
Mailing address
7425 RED BANKS RD, GILLETT, WI 54124-9749
(920) 590-1397
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
06/01/2021
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