CRC WISCONSIN RD LLC NPI 1861773863

NPI Information

  • NPI: 1861773863
  • Provider Name: CRC WISCONSIN RD LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: BURKWOOD TREATMENT CENTER
  • Address: 615 OLD MILL RD
    HUDSON, WI
    ZIP 54016
  • Phone: (715) 386-6125

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NPI Details

CRC WISCONSIN RD LLC is a rehabilitation and substance use disorder clinic center in Hudson, WI. CRC WISCONSIN RD LLC NPI is 1861773863. 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 RD
HUDSON, WI
ZIP 54016-959
Phone: (715) 386-6125
Fax: (715) 381-0158

The provider's authorized official is Christopher Howard .
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 9/2/2011 and was last updated on 4/20/2023.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1118WISCONSINYes

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: 11/21/2025

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