Organization · Type 2 NPI

Premier Care of Wisconsin, Llc.

Methadone Clinic · Fond Du Lac, WI

NPI number 1265143945 Active

Practice location

23 W Scott St
Fond Du Lac, WI 54935-2342

Call (920) 926-0101 Map

Fax (920) 926-0060

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Methadone Clinic Primary 261QM2800XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

31 other providers at this address

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About NPI 1265143945

Premier Care of Wisconsin, Llc.'s National Provider Identifier is 1265143945, issued on Dec 13, 2022. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Fond Du Lac, WI. The record was last updated on Feb 10, 2024.