Organization · Type 2 NPI
St. Croix Chippewa Indians of Wi
Substance Use Disorder Rehabilitation Clinic/Center · Turtle Lake, WI
NPI number
1023729597
Active
Practice location
361 175th Ave
Turtle Lake, WI 54889-9142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1023729597
St. Croix Chippewa Indians of Wi's National Provider Identifier is 1023729597, issued on Dec 6, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Turtle Lake, WI. The record was last updated on Mar 28, 2024.