Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 575 4th St, Kewaunee, 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 |
---|---|
575 4th St Kewaunee WI 54216-1785 Ph: (920) 433-3630 | 575 4th St Kewaunee WI 54216-1785 Ph: (920) 433-3630 |
NPI Number | 1508829136 |
---|---|
Provider Enumeration Date | 04/06/2006 |
Last Update Date | 07/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508829136 | NPI | - | NPPES |