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Organization

QUALITY ADDICTION MANAGEMENT

Active
Parent organization
QUALITY ADDICTION MANAGEMENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUALITY ADDICTION MANAGEMENT
Authorized official
MRS. ELIZABETH ANN GILBERT RN (ADMINISTRATOR)
(262) 549-6600
Entity
Organization

Contact information

Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
(414) 672-6026
Mailing address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
(414) 672-6026

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
2236
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42030800
WI
05
42234200
WI
Enumeration date
10/08/2008
Last updated
10/08/2008
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