Organization
WHOLE LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY P EHRICH ICS, CSAC (DIRECTOR)
(715) 645-0336
Entity
Organization
Contact information
Practice address
819 ASH ST STE 150, SPOONER, WI 54801-1201
(715) 645-0336
Mailing address
PO BOX 93, SPOONER, WI 54801-0093
(715) 645-0336
(715) 645-0336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1819-132
WI
324500000X
Substance Abuse Rehabilitation Facility
11506-135
WI
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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