NPI | 1336508613 |
---|---|
Doing Business As | WISHOPE RECOVERY |
Entity Type | Organization |
Authorized Contact | PETER T BRUNZELLE Executive Director 262-701-7257 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WI 3129) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WI 3129) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2025-05-05 |