Organization · Type 2 NPI

CRC Wisconsin RD LLC

Substance Use Disorder Rehabilitation Clinic/Center · Hudson, WI

NPI number 1861773863 Active

Practice location

615 Old Mill Rd
Hudson, WI 54016-6959

Fax (715) 381-0158

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	1118 (WI)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Burkwood, Inc.Substance Abuse Rehabilitation Facility Hudson, WI NPI 1356412506

Other substance use disorder rehabilitation clinic/center providers in Hudson

Hazelden Betty Ford FoundationSubstance Use Disorder Rehabilitation Clinic/Center Hudson, WI NPI 1972363240

See all in Hudson →

NPI record

NPI: 1861773863
Entity type: Organization (Type 2)
Issued: Sep 2, 2011
Last updated: Apr 20, 2023
Status: Active

Other names

<unavail>
Burkwood Treatment Center · doing business as
Burkwood Treatment Center · doing business as

Authorized official

Christopher Howard
Vice President and Secretary
(615) 861-6000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861773863

CRC Wisconsin RD LLC's National Provider Identifier is 1861773863, issued on Sep 2, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Hudson, WI. The record was last updated on Apr 20, 2023.