Organization · Type 2 NPI
Premier Care of Wisconsin, Llc.
Methadone Clinic · Fond Du Lac, WI
NPI number
1346620952
Active
Practice location
23 W Scott St
Fond Du Lac, WI 54935-2342
Mailing address
8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Community/Behavioral Health Agency | 251S00000X | 3075 (WI) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None 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
- Premier Care of Wisconsin, Llc.Methadone Clinic Fond Du Lac, WI NPI 1265143945
- Africa Marquitia Lucas, SAC-ITAddiction (Substance Use Disorder) Counselor Fond Du Lac, WI NPI 1073079844
- Alexis Lor, RNAddiction (Substance Use Disorder) Registered Nurse Fond Du Lac, WI NPI 1932575842
- Alicia NeitzelAddiction (Substance Use Disorder) Counselor Fond Du Lac, WI NPI 1205329307
- Alli M. FalkenthalRegistered Nurse Fond Du Lac, WI NPI 1316712961
- Andrea Rose BoyceRegistered Nurse Fond Du Lac, WI NPI 1225867088
- Ann Michelle BradleyClinical Social Worker Fond Du Lac, WI NPI 1356264634
- Brittney Schommer, LPNLicensed Practical Nurse Fond Du Lac, WI NPI 1851846067
- Cathy L. Daniels, RNRegistered Nurse Fond Du Lac, WI NPI 1972491298
- Danielle LisneyAddiction (Substance Use Disorder) Registered Nurse Fond Du Lac, WI NPI 1023543618
- Donna Lehner, RNAddiction (Substance Use Disorder) Registered Nurse Fond Du Lac, WI NPI 1962957357
- Elizabeth M. Cotter, RNRegistered Nurse Fond Du Lac, WI NPI 1295579886
Other methadone clinic providers in Fond Du Lac
About NPI 1346620952
Premier Care of Wisconsin, Llc.'s National Provider Identifier is 1346620952, issued on Jun 9, 2015. 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.