Organization
EAU CLAIRE METRO TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M BRADEN SACIT (COUNSELOR)
(715) 834-1078
Entity
Organization
Contact information
Practice address
2000 N OXFORD AVE STE 4, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Mailing address
2000 N OXFORD AVE STE 4, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
15516130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15516130
SUBSTANCE ABUSE COUNSELOR IN TRAINING
WI
Enumeration date
04/06/2009
Last updated
04/06/2009
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