Organization · Type 2 NPI
Iris Health Clinic LLC
Substance Abuse Rehabilitation Facility · Weyauwega, WI
NPI number
1588360705
Active
Practice location
N3501 State Road 110
Weyauwega, WI 54983-8644
Fax (262) 458-4102
Mailing address
255 W Broadway
Waukesha, WI 53186-4832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
About NPI 1588360705
Iris Health Clinic LLC's National Provider Identifier is 1588360705, issued on Jan 31, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Weyauwega, WI. The record was last updated on Jan 31, 2023.