NPI 1053166942
Wisconsin Recovery Institute
Practice location
- Address
- 1446 Lynn Ave, Fond Du Lac, WI 54937-6900
- Phone
- (920) 990-2104
Authorised official
- Name
- Jacob Edelstein
- Title
- Owner
- Phone
- (949) 245-8625
Registered specialties (3)
Substance Abuse Rehabilitation Facility
Primary
Substance Use Disorder Rehabilitation Hospital Unit
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1053166942
- Entity type
- Organization
- NPI issued
- 23 Apr 2024
- Record last updated
- 23 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.