Whalio Doctors

NPI 1205262417

Human Resource Assistance Center LLC

Organisation Substance Abuse Rehabilitation Facility Menasha, WI

Practice location

Address
1478 Kenwood Dr Suite 1d, Menasha, WI 54952-1161
Phone
(920) 722-0311
Fax
(920) 722-0313

Authorised official

Name
Jonathan Jeffery Dorn
Title
Ceo
Phone
(920) 722-0313

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1205262417
Entity type
Organization
NPI issued
19 Sep 2013
Record last updated
17 Oct 2013

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.