National Provider Identifier Database

ASSOCIATED COUNSELING AND RECOVERY CENTER LLC
Mental Health (Including Community Mental Health Center)


Contact Information

ASSOCIATED COUNSELING AND RECOVERY CENTER LLC
551 W JOHNSON ST
FOND DU LAC, WI54935
Phone: 920-907-0097
Fax: 920-907-0109
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

NPI Number 1487712519
Legal business name
LBN
ASSOCIATED COUNSELING AND RECOVERY CENTER LLC
Authorized official JUDITH POLLARD - (CLINIC DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/04/2006
Last updated 11/29/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 2060
  • WI Medicaid: 42209700

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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