NPI 1285922971

Blandine House INC

Organisation Substance Abuse Rehabilitation Facility Fond Du Lac, WI

Practice location

Address: 25 N Park Ave, Fond Du Lac, WI 54935-3501
Phone: (920) 922-9487
Fax: (920) 922-9184

Authorised official

Name: James Colwin
Title: Executive Director
Phone: (920) 922-9487

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1068-800 (WI)

Other Substance Abuse Rehabilitation Facility providers in Wisconsin →

Registry record

NPI: 1285922971
Entity type: Organization
NPI issued: 14 Jul 2011
Record last updated: 14 Jul 2011

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.