| Stable Reins, Llc | |
|
N5405 County Road A Prentice WI 54556-9432 | |
| (715) 428-2082 | |
| (715) 428-2092 |
| Full Name | Stable Reins, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | N5405 County Road A, Prentice, Wisconsin |
| Authorized Official Name and Position | Raymond William Schroeder (OWNER) |
| Authorized Official Contact | 7154282082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stable Reins, Llc N5405 County Road A Prentice WI 54556-9432 Ph: (715) 428-2082 | Stable Reins, Llc N5405 County Road A Prentice WI 54556-9432 Ph: (715) 428-2082 |
| NPI Number | 1467965491 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467965491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Journey To Wholeness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N5405 County Road A, Prentice, WI 54556 Phone: 715-428-2082 Fax: 715-428-2092 |