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Western Region Recovery & Wellness Consortia

Organization Active NPI Community/Behavioral Health Agency · Ellsworth, WI

NPI 1275919003 · NPPES record last updated Aug 4, 2015

Key facts

NPI
1275919003
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
3065 (WI)
Legal business name
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Practice address
412 West Kinne Street
Ellsworth, WI 54011-0670
Phone
(715) 273-6770
Fax
(715) 273-6862
NPI assigned
Aug 4, 2015
Organization subpart
No

Authorized official

Name
Mary K Zachau
Title
Fiscal Manager
Phone
(715) 726-7787

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
County of Chippewa (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3065 WI Yes

Addresses

Primary practice location

412 West Kinne Street
Ellsworth, WI 54011-0670

Mailing address

711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845
Phone (715) 726-7787

Other identifiers

IdentifierTypeStateIssuer
3065OtherWISTATE OF WISCONSIN CERTIFICATION

Other names

  • Pierce County Dept of Human Services Other name

Other providers in Ellsworth, WI

All providers in Ellsworth, WI · Community/Behavioral Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.