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Premier Care Of Wisconsin, Llc.
Substance Use Disorder Rehabilitation Clinic/Center in Madison, Wisconsin
NPI 1720701949

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 Madison, WI. The NPI Number for Premier Care Of Wisconsin, Llc. is 1720701949 and holds a License No. (Wisconsin).

The current practice location address for Premier Care Of Wisconsin, Llc. is 4802 E Broadway, Madison, WI and can be reached out via phone at 608-889-7500 and via fax at 480-687-7361.

Location: 4802 E Broadway, Madison, WI, 85258-4437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720701949
Provider Name
Premier Care Of Wisconsin, Llc.
Credential
Provider Entity Type
Organization
Address
4802 E Broadway, Madison, WI, 85258-4437
Phone Number
608-889-7500
Fax Number
480-687-7361
Provider Enumeration Date
09/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4802 E Broadway
City
Madison
State
Wisconsin
Zip
53716-4141
Phone Number
608-889-7500
Fax Number
480-687-7361
person
Provider Business Mailing Address Details
Address
4802 E Broadway
City
Madison
State
Wisconsin
Zip
53716-4141
Phone Number
608-889-7500
Fax Number
480-687-7361
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.
()
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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