ASSOCIATED COUNSELING AND RECOVERY CENTER LLC; NPI #1487712519

Contact Information

ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

551 W JOHNSON ST
FOND DU LAC, WI 54935

Phone: 920-907-0097
Fax: 920-907-0109
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

NPI Number 1487712519

LBN Legal business name ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

Authorized official JUDITH POLLARD - (CLINIC DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/04/2006

Last updated 11/29/2010 - About 16 years ago

Identifiers

WI	License #	2060
WI	Medicaid	42209700

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

Contact Information

Specialty

Mental Health (Including Community Mental Health Center)

NPI Profile & details for ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

Reviews for ASSOCIATED COUNSELING AND RECOVERY CENTER LLC