| Autism Resources & Services | |
|
1540 Capitol Dr Suite 104 Green Bay WI 54303-2235 | |
| (920) 491-9800 | |
| (920) 491-9800 |
| Full Name | Autism Resources & Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1540 Capitol Dr, Green Bay, Wisconsin |
| Authorized Official Name and Position | James Paul Heider (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9204919800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Resources & Services 1540 Capitol Dr Suite 104 Green Bay WI 54303-2235 Ph: (920) 491-9800 | Autism Resources & Services 1540 Capitol Dr Suite 104 Green Bay WI 54303-2235 Ph: (920) 491-9800 |
| NPI Number | 1396936175 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396936175 | NPI | - | NPPES |
| 39081000 | Medicaid | WI |
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