CRC WISCONSIN RD LLC NPI 1598920035

NPI Information

  • NPI: 1598920035
  • Provider Name: CRC WISCONSIN RD LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: BURKWOOD TREATMENT CENTER
  • Address: 615 OLD MILL ROAD
    HUDSON, WI
    ZIP 54016
  • Phone: (715) 386-6125

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NPI Details

CRC WISCONSIN RD LLC is a substance abuse rehabilitation facility in Hudson, WI. The provider is 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. CRC WISCONSIN RD LLC NPI is 1598920035. The provider is registered as an organization entity type.
The provider Is Doing Business As Burkwood Treatment Center.

The provider's business location address is:

615 OLD MILL ROAD
HUDSON, WI
ZIP 54016-959
Phone: (715) 386-6125
Fax: (715) 381-0158

The provider's authorized official is Brian P. Farley .
The authorized official title is Vice President And Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 7/24/2008 and was last updated on 10/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility12365WISCONSINYes

What is NPI?

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This page was last updated on: 11/21/2025

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