| Red Cliff Aoda Program | |
|
37390 N Bradum Rd Bayfield WI 54814-4832 | |
| (715) 779-3741 | |
| (715) 779-3765 |
| Full Name | Red Cliff Aoda Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 37390 N Bradum Rd, Bayfield, Wisconsin |
| Authorized Official Name and Position | Martin Gordon (COUNSELOR) |
| Authorized Official Contact | 7157793741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Cliff Aoda Program Po Box 529 Bayfield WI 54814-0529 Ph: (715) 779-3741 | Red Cliff Aoda Program 37390 N Bradum Rd Bayfield WI 54814-4832 Ph: (715) 779-3741 |
| NPI Number | 1023167954 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023167954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Wisconsin) | Primary |
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