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Western Region Recovery & Wellness Consortia

Organization Active NPI Community/Behavioral Health Agency · Chippewa Falls, WI

NPI 1871971986 · NPPES record last updated May 8, 2015

Key facts

NPI
1871971986
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
3064 (WI)
Legal business name
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Practice address
711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845
Phone
(715) 726-7787
Fax
(715) 726-7736
NPI assigned
May 8, 2015
Organization subpart
No

Authorized official

Name
Larry Winter
Title
Director
Phone
(715) 726-7788

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 3064 WI Yes

Addresses

Primary practice location

711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
3064OtherWISTATE CERTIFICATION

Other providers in Chippewa Falls, WI

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

Sources for this page

Verify at the official NPI Registry.