| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 820 Arbutus Ave, Oconto, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (PROVIDER/CLINIC CREDENTIALING) |
| Authorized Official Contact | 9204457226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
820 Arbutus Ave Oconto WI 54153 Ph: (920) 835-5500 | 820 Arbutus Ave Oconto WI 54153 Ph: (920) 835-5500 |
| NPI Number | 1609050798 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609050798 | NPI | - | NPPES |
| 2759 | Other | WI | WI STATE CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Oconto County Health & Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 Fax: 920-834-6889 | |