Organization
AMS OF WISCONSIN, LLC
Active
Parent organization
AMS OF WISCONSIN, LLC
Other names
AMS of Wisconsin-Minocqua
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMS OF WISCONSIN, LLC
Authorized official
GEORGE MICHAEL ERRICO (PRESIDENT)
(727) 301-3070
Entity
Organization
Contact information
Practice address
9792 HWY 70 STE 3, MINOCQUA, WI 54548-8747
(715) 356-0034
(715) 356-0037
Mailing address
9792 HWY 70 STE 3, MINOCQUA, WI 54548-8747
(715) 356-0034
(715) 356-0037
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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