Organization
CRC WISCONSIN RD LLC
Active
Parent organization
CRC WISCONSIN RD LLC
Other names
Burkwood Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRC WISCONSIN RD LLC
Authorized official
BRIAN P. FARLEY (VICE PRESIDENT AND SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
615 OLD MILL ROAD, HUDSON, WI 54016-6959
(715) 386-6125
(715) 381-0158
Mailing address
615 OLD MILL ROAD, HUDSON, WI 54016-6959
(715) 386-6125
(715) 381-0158
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
12365
WI
Other
Enumeration date
07/24/2008
Last updated
10/25/2023
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