NPI | 1487811204 |
---|---|
Doing Business As | WAUSAU COMPREHENSIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: WI 2408) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2024-10-25 |