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Premier Care Of Wisconsin, Llc.
Substance Use Disorder Rehabilitation Clinic/Center in West Allis, Wisconsin
NPI 1790496487

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 West Allis, WI. The NPI Number for Premier Care Of Wisconsin, Llc. is 1790496487 and holds a License No. (Wisconsin).

The current practice location address for Premier Care Of Wisconsin, Llc. is 2814 S 108Th St, West Allis, WI and can be reached out via phone at 414-885-3525 and via fax at 262-643-4617.

Location: 2814 S 108Th St, West Allis, WI, 85258-4437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790496487
Provider Name
Premier Care Of Wisconsin, Llc.
Credential
Provider Entity Type
Organization
Address
2814 S 108Th St, West Allis, WI, 85258-4437
Phone Number
414-885-3525
Fax Number
262-643-4617
Provider Enumeration Date
12/13/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2814 S 108Th St
City
West Allis
State
Wisconsin
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
262-643-4617
person
Provider Business Mailing Address Details
Address
2814 S 108Th St
City
West Allis
State
Wisconsin
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
262-643-4617
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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