Organization · Type 2 NPI

Professional Recovery Network

Substance Abuse Rehabilitation Facility · Waukesha, WI

NPI number 1811104995 Active

Practice location

2422 North Grandview Blvd
Waukesha, WI 53188

Call (262) 549-6600 Map

Fax (262) 549-6698

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X1748 (WI)
Substance Abuse Rehabilitation Facility 324500000X1747 (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 1811104995

Professional Recovery Network's National Provider Identifier is 1811104995, issued on May 17, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Waukesha, WI. The record was last updated on Aug 22, 2020.