| Sals Recovery Center Llc | |
|
223 Wisconsin Ave Waukesha WI 53186-4968 | |
| (971) 334-3150 | |
| (262) 753-6897 |
| Full Name | Sals Recovery Center Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 223 Wisconsin Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | Peter T Brunzelle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2627017257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sals Recovery Center Llc 223 Wisconsin Ave Waukesha WI 53186-4968 Ph: (262) 701-7257 | Sals Recovery Center Llc 223 Wisconsin Ave Waukesha WI 53186-4968 Ph: (971) 334-3150 |
| NPI Number | 1336508613 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336508613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3129 (Wisconsin) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 3129 (Wisconsin) | Primary |
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