| Northwest Directions Wisconsin Rapids | |
|
110 24th St S Wisconsin Rapids WI 54494-1906 | |
| (715) 424-5040 | |
| (715) 424-5720 |
| Full Name | Northwest Directions Wisconsin Rapids |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 24th St S, Wisconsin Rapids, Wisconsin |
| Authorized Official Name and Position | Nick Kalambokidis (CFO) |
| Authorized Official Contact | 7153274402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Directions Wisconsin Rapids 110 24th St S Wisconsin Rapids WI 54494-1906 Ph: (715) 424-5040 | Northwest Directions Wisconsin Rapids 110 24th St S Wisconsin Rapids WI 54494-1906 Ph: (715) 424-5040 |
| NPI Number | 1417275231 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417275231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Bh Outpatient Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 W Jackson St, Wisconsin Rapids, WI 54495 Phone: 715-421-8800 Fax: 715-421-2266 | |
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Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
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