Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wisconsin Recovery Institute

Organization Substance Use Disorder Rehabilitation Hospital Unit · NPI 1053166942

Wisconsin Recovery Institute is a Substance Use Disorder Rehabilitation Hospital Unit in Fond Du Lac, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1446 Lynn Ave
Fond Du Lac, WI 54937-6900
Phone: (920) 990-2104
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1053166942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Edelstein — Owner · (949) 245-8625
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address1446 Lynn Ave, Fond Du Lac, WI 54937-6900