Exodus Transitional Care Facility Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1710304878

Exodus Transitional Care Facility Inc is a Substance Abuse Rehabilitation Facility in Kewaskum, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in: WI
In the registry since: 2014

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1421 Fond Du Lac Ave
Kewaskum, WI 53040-9136
Phone: (626) 626-4166
Fax: (262) 626-8431

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary)	Taxonomy 324500000X · Licence 2598 (WI)

Record details

NPI number	1710304878
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Cheryl Colwin — Clinical Supervisor/Director · (262) 626-4166
NPI enumerated	March 26, 2014
Last updated in NPPES	March 12, 2021
Certification date	March 12, 2021
Mailing address	1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136