Organization
COUNTY OF TREMPEALEAU
Active
Parent organization
COUNTY OF TREMPEALEAU
Other names
Willow Ridge CBRF
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF TREMPEALEAU
Authorized official
LESLIE COBURN (LEAD ACCOUNT CLERK)
(715) 538-4312
Entity
Organization
Contact information
Practice address
N36585 COUNTY ROAD QQQ, WHITEHALL, WI 54773-4401
(715) 538-9136
Mailing address
W20410 STATE ROAD 121, WHITEHALL, WI 54773-9147
(715) 538-9136
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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