PREMIER CARE OF WISCONSIN, LLC.

FOND DU LAC, WI
NPI1346620952
Doing Business AsCMS FOND DU LAC
Entity TypeOrganization
Authorized ContactCINDY GAITHER
VP Revenue Cycle Mgmt
602-248-8886
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
101YA0400X Counselor, Addiction (Substance Use Disorder)
251S00000X 
(Licence: WI  3075)
Enumeration Date2015-06-09
Last Update Date2024-02-10
Business Address
PREMIER CARE OF WISCONSIN, LLC.
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
Mailing Address
PREMIER CARE OF WISCONSIN, LLC.
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 85258-4437
Phone number: 602-248-8886