St Croix Chippewa Indians of Wi

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1023729597

St Croix Chippewa Indians of Wi is a Substance Use Disorder Rehabilitation Clinic/Center in Turtle Lake, Wisconsin. Registered with an NPI since 2022.

In the registry since: 2022
Specialties on file: 2

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Practice location Address checks out

361 175th Ave
Turtle Lake, WI 54889-9142
Phone: (715) 619-0015

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary)	Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility	Taxonomy 324500000X

Record details

NPI number	1023729597
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Todd Meinburg — Executive Director · (715) 619-0015
Other names	Stctx; Stctx
NPI enumerated	December 6, 2022
Last updated in NPPES	March 28, 2024
Certification date	March 28, 2024
Mailing address	361 175th Ave, Turtle Lake, WI 54889-9142