OrganizationActive
Willow Behavioral Health LLC
NPI 1174491369 · Substance Use Disorder Rehabilitation Clinic/Center · Madison, WI
Provider details
- NPI number
- 1174491369
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Suprenant, Ceo(617) 733-4233
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
4610 S Biltmore Ln Ste 106-107
Madison, WI 53718-2152
Phone: (617) 733-4233
Fax: (772) 679-0244
Approximate (ZIP-level) locationGet directions
Mailing address
4610 S Biltmore Ln Ste 106-107
Madison, WI 53718-2152
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.