Organization · Type 2 NPI

Blandine House Inc

Substance Abuse Rehabilitation Facility · Fond Du Lac, WI

NPI number 1285922971 Active

Practice location

25 N Park Ave
Fond Du Lac, WI 54935-3501

Fax (920) 922-9184

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X1068-800 (WI)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1285922971

Blandine House Inc's National Provider Identifier is 1285922971, issued on Jul 14, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jul 14, 2011.