| Associated Counseling And Recovery Center Llc | |
|
551 W Johnson St Fond Du Lac WI 54935 | |
| (920) 907-0097 | |
| (920) 907-0109 |
| Full Name | Associated Counseling And Recovery Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 551 W Johnson St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Judith A Pollard (CLINIC DIRECTOR) |
| Authorized Official Contact | 9209070097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Counseling And Recovery Center Llc 551 W Johnson St Fond Du Lac WI 54935 Ph: (920) 907-0097 | Associated Counseling And Recovery Center Llc 551 W Johnson St Fond Du Lac WI 54935 Ph: (920) 907-0097 |
| NPI Number | 1487712519 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487712519 | NPI | - | NPPES |
| 42209700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2060 (Wisconsin) | Primary |
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› Verified 9 days ago
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