Whalio Doctors

NPI 1306298740

Phoenix Counseling

Organisation Substance Abuse Rehabilitation Facility Barron, WI

Practice location

Address
64 S 4th St, Barron, WI 54812-1503
Phone
(715) 537-5610
Fax
(715) 637-5749
Mailing address
64 S 4th St P.O. Box 142, Barron, WI 54812-1503

Authorised official

Name
Nate L Whiting
Title
President
Phone
(715) 296-3840

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 6013-125 (WI)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 15915-132 (WI)

Registry record

NPI
1306298740
Entity type
Organization
NPI issued
11 Jul 2016
Record last updated
2 Aug 2016

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.