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WISCONSIN COMMUNITY SERVICES INC-JOSHUA GLOVER RRC NPI 1841964970


NPI Information

NPI: 1841964970
Provider Name: WISCONSIN COMMUNITY SERVICES, INC-JOSHUA GLOVER RRC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2404 N 50TH ST
MILWAUKEE, WI
ZIP 53210
Phone: (414) 442-3700
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WISCONSIN COMMUNITY SERVICES, INC-JOSHUA GLOVER RRC is a substance abuse rehabilitation facility in Milwaukee, 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. WISCONSIN COMMUNITY SERVICES, INC-JOSHUA GLOVER RRC NPI is 1841964970. The provider is registered as an organization entity type.

The provider's business location address is:

2404 N 50TH ST
MILWAUKEE, WI
ZIP 53210-814
Phone: (414) 442-3700

The provider's authorized official is Joy Fitzsimons .
The authorized official title is Program Director and has the following contact phone number (414) 442-3700.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 2/13/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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