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Exodus Transitional Care Facility Inc.
Substance Abuse Rehabilitation Facility in Kewaskum, Wisconsin
NPI 1710304878

Exodus Transitional Care Facility Inc. is a Substance Abuse Rehabilitation Facility based in Kewaskum, WI. Exodus Transitional Care Facility Inc. practices in Kewaskum, WI. The NPI Number for Exodus Transitional Care Facility Inc. is 1710304878 and holds a License No. 2598 (Wisconsin).

The current practice location address for Exodus Transitional Care Facility Inc. is 1421 Fond Du Lac Ave, Kewaskum, WI and can be reached out via phone at 626-626-4166 and via fax at 262-626-8431.

Location: 1421 Fond Du Lac Ave, Kewaskum, WI, 53040-9136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710304878
Provider Name
Exodus Transitional Care Facility Inc.
Credential
Provider Entity Type
Organization
Address
1421 Fond Du Lac Ave, Kewaskum, WI, 53040-9136
Phone Number
626-626-4166
Fax Number
262-626-8431
Provider Enumeration Date
03/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1421 Fond Du Lac Ave
City
Kewaskum
State
Wisconsin
Zip
53040-9136
Phone Number
626-626-4166
Fax Number
262-626-8431
person
Provider Business Mailing Address Details
Address
1421 Fond Du Lac Ave
City
Kewaskum
State
Wisconsin
Zip
53040-9136
Phone Number
626-626-4166
Fax Number
262-626-8431
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
2598 (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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