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3440 Oakwood Hills Pkwy Eau Claire WI 54701-7698 | |
| (715) 214-2525 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 3440 Oakwood Hills Pkwy, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | 3440 Oakwood Hills Pkwy Eau Claire WI 54701-7698 Ph: (715) 214-2525 |
| NPI Number | 1144684697 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144684697 | NPI | - | NPPES |
| 100059526 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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