Organization
ANCHOR BAY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN DOUGLAS COX MA (OWNER)
(715) 939-1393
Entity
Organization
Contact information
Practice address
329 S RIVER ST # 301, SPOONER, WI 54801-9726
(715) 939-1393
(715) 939-1394
Mailing address
PO BOX 574, SPOONER, WI 54801-0574
(715) 939-1393
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3433-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40980600
—
WI
Enumeration date
12/29/2016
Last updated
12/29/2016
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