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Mr. Kevin Richard Bidinger, SAC-IT
Substance Abuse Rehabilitation Facility in Madison, Wisconsin
NPI 1730515339

Kevin Richard Bidinger is a Substance Abuse Rehabilitation Facility based in Madison, WI. Kevin Richard Bidinger practices in Madison, WI and has the professional credentials of SAC-IT. The NPI Number for Kevin Richard Bidinger is 1730515339 and holds a License No. 16954-130 (Wisconsin).

The current practice location address for Kevin Richard Bidinger is 810 W Olin Ave, Madison, WI and can be reached out via phone at 608-255-5922 and via fax at 608-255-0340.

Location: 810 W Olin Ave, Madison, WI, 53715-2142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730515339
Provider Name
Kevin Richard Bidinger
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
810 W Olin Ave, Madison, WI, 53715-2142
Phone Number
608-255-5922
Fax Number
608-255-0340
Provider Enumeration Date
09/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417112780 05 WI
institution
Provider Business Practice Location Address Details
Address
810 W Olin Ave
City
Madison
State
Wisconsin
Zip
53715-2142
Phone Number
608-255-5922
Fax Number
608-255-0340
person
Provider Business Mailing Address Details
Address
810 W Olin Ave
City
Madison
State
Wisconsin
Zip
53715-2142
Phone Number
608-255-5922
Fax Number
608-255-0340
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16954-130 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
16954-130 (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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