Organization
COUNTY OF WOOD
Active
Other names
BH - Day Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON VRUWINK (DIRECTOR)
(715) 421-8800
Entity
Organization
Contact information
Practice address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8840
(715) 421-2266
Mailing address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8845
(715) 421-2266
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42140821
—
WI
Enumeration date
04/18/2007
Last updated
10/10/2025
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