Organization
THE LADDERS RECOVERY COMMUNITY
Active
Organization
THE LADDERS RECOVERY COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB PATRICK JANSEN (OWNER/EXECUTIVE DIRECTOR)
(262) 290-1072
Entity
Organization
Contact information
Practice address
1331 CAPITOL DR, OCONOMOWOC, WI 53066-5705
(262) 290-1072
Mailing address
1331 CAPITOL DR, OCONOMOWOC, WI 53066-5705
(262) 290-1072
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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