Organization
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WINTER (DIRECTOR)
(715) 726-7788
Entity
Organization
Contact information
Practice address
711 N BRIDGE ST RM 305, CHIPPEWA FALLS, WI 54729-1845
(715) 726-7787
(715) 726-7736
Mailing address
711 N BRIDGE ST RM 305, CHIPPEWA FALLS, WI 54729-1845
(715) 726-7787
(715) 726-7736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3066
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3066
STATE CERTIFICATION
WI
Enumeration date
05/08/2015
Last updated
05/08/2015
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