Wisconsin Recovery Institute

LBN: Wisconsin Recovery Institute
Wisconsin Recovery Institute is an health care organization with primary practice located at 1446 Lynn Ave , Fond Du Lac WI 54937-6900. The organization recently has 3 registered licenses in different health care specialties including Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Wisconsin Recovery Institute can be contacted via phone (920) 990-2104, or through Edelstein, Jacob via phone (949) 245-8625.

Contact Information

Primary practice address
1446 Lynn Ave Fond Du Lac WI 54937-6900
Phone: (920) 990-2104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edelstein, Jacob
Phone: (949) 245-8625

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1053166942
LBN Legal business name Wisconsin Recovery Institute
DBA Doing business as
Authorized official Edelstein, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2024
Last updated Apr 23rd, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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