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Lac Du Flambeau Band Of Lake Superior Chippewa Indians
Substance Abuse Rehabilitation Facility in Lac Du Flambeau, Wisconsin
NPI 1669970729

Lac Du Flambeau Band Of Lake Superior Chippewa Indians is a Substance Abuse Rehabilitation Facility based in Lac Du Flambeau, WI. Lac Du Flambeau Band Of Lake Superior Chippewa Indians practices in Lac Du Flambeau, WI. The NPI Number for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 1669970729 and holds a License No. (Wisconsin).

The current practice location address for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 3378 N. Schilleman Rd, Lac Du Flambeau, WI and can be reached out via phone at 715-388-0762 and via fax at 715-588-1889.

Location: 3378 N. Schilleman Rd, Lac Du Flambeau, WI, 54538-0815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669970729
Provider Name
Lac Du Flambeau Band Of Lake Superior Chippewa Indians
Credential
Provider Entity Type
Organization
Address
3378 N. Schilleman Rd, Lac Du Flambeau, WI, 54538-0815
Phone Number
715-388-0762
Fax Number
715-588-1889
Provider Enumeration Date
01/24/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3378 N. Schilleman Rd
City
Lac Du Flambeau
State
Wisconsin
Zip
54538-0815
Phone Number
715-388-0762
Fax Number
715-588-1889
person
Provider Business Mailing Address Details
Address
3378 N. Schilleman Rd
City
Lac Du Flambeau
State
Wisconsin
Zip
54538-0815
Phone Number
715-388-0762
Fax Number
715-588-1889
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
3100 (Wisconsin)
Definition
Definition to come...
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
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Wisconsin)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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