| Family Services Of Northeast Wisconsin, Inc. | |
|
300 Crooks St Green Bay WI 54301-4527 | |
| (920) 436-6800 | |
| (920) 437-3540 |
| Full Name | Family Services Of Northeast Wisconsin, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Crooks St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Rich Hunkins (AR MANAGER) |
| Authorized Official Contact | 9204364360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services Of Northeast Wisconsin, Inc. 1501 N Irwin Ave Green Bay WI 54302-1615 Ph: (920) 438-7146 | Family Services Of Northeast Wisconsin, Inc. 300 Crooks St Green Bay WI 54301-4527 Ph: (920) 436-6800 |
| NPI Number | 1376724765 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376724765 | NPI | - | NPPES |
| 43002300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | HFS61.91 (Wisconsin) | Primary |
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