Healthcare Provider Details

I. General information

NPI: 1588501191
Provider Name (Legal Business Name): ALLIANCE TRAUMA RECOVERY & HEALING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 STATE ROAD 44 STE K
OSHKOSH WI
54904-6440
US

IV. Provider business mailing address

2380 STATE ROAD 44 STE G
OSHKOSH WI
54904-6440
US

V. Phone/Fax

Practice location:
  • Phone: 920-203-0169
  • Fax:
Mailing address:
  • Phone: 920-203-0169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ROSONNA COMERS
Title or Position: OWNER
Credential: LCSW, CSAC
Phone: 920-203-0169