Quality Addiction Management

NPI 1629282470 - Counselor - 101YA0400X

NPI Details
NPI 1629282470
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES JOHN CHARLES
Position PRESIDENT
Phone (262) 549-6600
Fax (262) 549-6698
Practice Location
2422 NORTH GRANDVIEW BLVD
WAUKESHA WI, 53188, US
Phone (262) 549-6600
Fax (262) 549-6698
Business Location
2422 NORTH GRANDVIEW BLVD
WAUKESHA WI, 53188, US
Phone (262) 549-6600
Fax (262) 549-6698
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 1748
Remove 1629282470 NPI Number
 

According to our database, Quality Addiction Management NPI is 1629282470, taxonomy code is 101YA0400X and license number is 1748, license state is located at Wisconsin. Quality Addiction Management physically located at 2422 North Grandview Blvd, Waukesha WI, 53188. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1629282470 NPI number is provided on an as is basis without warranty of any kind. 1629282470 is maintained by the National Plan & Provider Enumeration System. The contents of Quality Addiction Management are for informational purposes only.