institution
Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis
Mental Health Clinic/Center (Including Community Mental Health Center) in Ashland, Wisconsin
NPI 1366618506

Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Ashland, WI and is specialized in Mental Health (Including Community Mental Health Center). Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis practices in Ashland, WI. The NPI Number for Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis is 1366618506 and holds a License No. 2728 (Wisconsin).

The current practice location address for Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis is 53585 Nokomis Rd, Ashland, WI and can be reached out via phone at 715-682-7133 and via fax at 715-685-7857.

Location: 53585 Nokomis Rd, Ashland, WI, 54806-4272
institution
Provider Profile Details
NPI Number
1366618506
Provider Name
Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis
Credential
Provider Entity Type
Organization
Address
53585 Nokomis Rd, Ashland, WI, 54806-4272
Phone Number
715-682-7133
Fax Number
715-685-7857
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42202100 05 WI
institution
Provider Business Practice Location Address Details
Address
53585 Nokomis Rd
City
State
Zip
54806-4272
Phone Number
715-682-7133
Fax Number
715-685-7857
person
Provider Business Mailing Address Details
Address
53585 Nokomis Rd
City
State
Zip
54806-4272
Phone Number
715-682-7133
Fax Number
715-685-7857
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
2728 (Wisconsin)
Definition
Definition to come...
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