Organization Name: | L & D ENTERPRISES, INC. |
NPI Number: | 1225005887 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHRYN HUBBARD (MANAGER) |
Mailing Address: | 1460 W Main St Suite 6 Sun Prairie |
State: | WI US |
Postal Code: | 535901846 |
Phone Number: | 6088374814 |
Fax Number: | 6088254933 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1742 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |