Organization
CRC HEALTH GROUP INC.
Active
Other names
Beloit Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN ERIC POFAHL 11121132 (CSAC)
(608) 313-0425
Entity
Organization
Contact information
Practice address
929 SUFFOLK DR, JANESVILLE, WI 53546-1821
(608) 756-3546
Mailing address
929 SUFFOLK DR, JANESVILLE, WI 53546-1821
(608) 756-3546
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
2689
WI
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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