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Innovative Recovery Network Of Wisconsin Llc
Adult Mental Health Clinic/Center in Milwaukee, Wisconsin
NPI 1427332501

Innovative Recovery Network Of Wisconsin Llc is an Adult Mental Health Clinic/Center based in Milwaukee, WI and is specialized in Adult Mental Health. Innovative Recovery Network Of Wisconsin Llc practices in Milwaukee, WI. The NPI Number for Innovative Recovery Network Of Wisconsin Llc is 1427332501 and holds a License No. 2961 (Wisconsin).

The current practice location address for Innovative Recovery Network Of Wisconsin Llc is 1314 W National Ave, Milwaukee, WI and can be reached out via phone at 414-383-4432 and via fax at 414-383-4482.

Location: 1314 W National Ave, Milwaukee, WI, 53204-2114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427332501
Provider Name
Innovative Recovery Network Of Wisconsin Llc
Credential
Provider Entity Type
Organization
Address
1314 W National Ave, Milwaukee, WI, 53204-2114
Phone Number
414-383-4432
Fax Number
414-383-4482
Provider Enumeration Date
10/06/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1314 W National Ave
City
Milwaukee
State
Wisconsin
Zip
53204-2114
Phone Number
414-383-4432
Fax Number
414-383-4482
person
Provider Business Mailing Address Details
Address
1314 W National Ave
City
Milwaukee
State
Wisconsin
Zip
53204-2114
Phone Number
414-383-4432
Fax Number
414-383-4482
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
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 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
2961 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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