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PROFESSIONAL RECOVERY NETWORK
NPI 1811104995
Substance Abuse Rehabilitation Facility in Waukesha, WI

Active since May 17, 2007
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188(262) 549-6600(262) 549-6698 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Recovery Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL RECOVERY NETWORK (NPI 1811104995) is a healthcare organization registered as a substance abuse rehabilitation facility in Waukesha, Wisconsin and active in the NPI registry since May 2007. The organization lists Charles John Engel, President, as its authorized official.

NPPES Registry Identity

NPI1811104995
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePROFESSIONAL RECOVERY NETWORK
Location Address2422 NORTH GRANDVIEW BLVDWaukesha, WI 53188
Mailing Address2422 North Grandview BlvdWaukesha, WI 53188 · (262) 549-6600 · Fax (262) 549-6698
Phone(262) 549-6600
Fax(262) 549-6698
Organization SubpartNo
Authorized OfficialCharles John EngelPresident · (262) 549-6600
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811104995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses✔ Licensed in WI · 1748✔ Licensed in WI · 1747
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2422 NORTH GRANDVIEW BLVD, Waukesha, WI 53188
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JULIE ANN BURTNESS LPC CSAC
Counselor (Addiction (Substance Use Disorder))
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MS. WENDY M KOHLHAAS CSAC
Counselor (Addiction (Substance Use Disorder))
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MR. JEFFREY MERLE FOSSO RN
Registered Nurse (Addiction (Substance Use Disorder))
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
GRETCHEN E JRNKA LPN
Licensed Practical Nurse
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MRS. TAMARA LYNN DOMANSKY RN
Registered Nurse (Addiction (Substance Use Disorder))
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
BARBARA J KUECHLER RN
Registered Nurse (Addiction (Substance Use Disorder))
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MR. JAMES MARCEL CAMPEAUX 2047132 CSAC 1161213
Counselor (Addiction (Substance Use Disorder))
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MRS. CONNIE JANE HANSON LPN
Licensed Practical Nurse
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Recovery Network's NPI number?

The NPI number for Professional Recovery Network is 1811104995. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Professional Recovery Network located?

Professional Recovery Network is located at 2422 North Grandview Blvd, Waukesha, WI 53188. The listed phone number is (262) 549-6600.

What is Professional Recovery Network's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Professional Recovery Network was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.