OrganizationActive
4th Dimension Recovery Centers
NPI 1538634829 · Substance Use Disorder Rehabilitation Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1538634829
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jason Luell, Chief Operations Officer
Practice location
1216 N Prospect Ave
Milwaukee, WI 53202-3061
Phone: (973) 277-5359
Fax: (928) 441-1686
Mailing address
1216 N Prospect Ave
Milwaukee, WI 53202-3061
Registry dates
- Enumerated
- 2018-10-12
- Last updated
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.