| Family Service Of New | |
|
300 Crooks St Green Bay WI 54301-4527 | |
| (920) 436-6800 | |
| (920) 437-3540 |
| Full Name | Family Service Of New |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 300 Crooks St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Lois Mischler (PRESIDENT/CEO) |
| Authorized Official Contact | 9204366800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of New Po Box 22308 Green Bay WI 54305-2308 Ph: (920) 436-6800 | Family Service Of New 300 Crooks St Green Bay WI 54301-4527 Ph: (920) 436-6800 |
| NPI Number | 1467453167 |
|---|---|
| Provider Enumeration Date | 08/03/2005 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467453167 | NPI | - | NPPES |
| 42105100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1329 (Wisconsin) | Primary |
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