| |
831 Parker St Algoma WI 54201-0185 | |
(920) 433-3630 | |
(920) 437-0533 |
Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 831 Parker St, Algoma, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204457226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
831 Parker St Algoma WI 54201-0185 Ph: (920) 433-3630 | 831 Parker St Algoma WI 54201-0185 Ph: (920) 433-3630 |
NPI Number | 1124438478 |
---|---|
Provider Enumeration Date | 05/07/2014 |
Last Update Date | 07/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124438478 | NPI | - | NPPES |