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Premier Care Of Wisconsin, Llc.
Substance Use Disorder Rehabilitation Clinic/Center in Fond Du Lac, Wisconsin
NPI 1346620952

Premier Care Of Wisconsin, Llc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Scottsdale, WI and is specialized in Rehabilitation, Substance Use Disorder. Premier Care Of Wisconsin, Llc. practices in Fond Du Lac, WI. The NPI Number for Premier Care Of Wisconsin, Llc. is 1346620952 and holds a License No. (Wisconsin).

The current practice location address for Premier Care Of Wisconsin, Llc. is 23 W Scott St, Fond Du Lac, WI and can be reached out via phone at 920-926-0101.

Location: 23 W Scott St, Fond Du Lac, WI, 85258-4437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346620952
Provider Name
Premier Care Of Wisconsin, Llc.
Credential
Provider Entity Type
Organization
Address
23 W Scott St, Fond Du Lac, WI, 85258-4437
Phone Number
920-926-0101
Fax Number
Provider Enumeration Date
06/09/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
23 W Scott St
City
Fond Du Lac
State
Wisconsin
Zip
54935-2342
Phone Number
920-926-0101
Fax Number
person
Provider Business Mailing Address Details
Address
23 W Scott St
City
Fond Du Lac
State
Wisconsin
Zip
54935-2342
Phone Number
920-926-0101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
3075 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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