| Family Behavioral Resources, Llc | |
|
2301 Riverside Dr Suite 8 Green Bay WI 54301-1907 | |
| (920) 430-9100 | |
| (920) 430-9101 |
| Full Name | Family Behavioral Resources, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2301 Riverside Dr, Green Bay, Wisconsin |
| Authorized Official Name and Position | Carol Jean Burks (MEMBER) |
| Authorized Official Contact | 9204309100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Behavioral Resources, Llc 2301 Riverside Dr Suite 8 Green Bay WI 54301-1907 Ph: (920) 430-9100 | Family Behavioral Resources, Llc 2301 Riverside Dr Suite 8 Green Bay WI 54301-1907 Ph: (920) 430-9100 |
| NPI Number | 1215121967 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215121967 | NPI | - | NPPES |
| 42232600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2480 (Wisconsin) | Primary |
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