Organization
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Active
Other names
Washburn County Health & Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BAILEY BS (FISCAL MANAGER)
(715) 726-7788
Entity
Organization
Contact information
Practice address
110 4TH AVE W, SHELL LAKE, WI 54871-0250
(715) 468-4747
(715) 468-4753
Mailing address
711 N BRIDGE ST, ROOM 305, CHIPPEWA FALLS, WI 54729-1845
(715) 726-7788
(715) 726-7736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3065
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3065
STATE OF WISCONSIN CERTIFICATION
WI
Enumeration date
12/28/2016
Last updated
12/28/2016
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