Northwest Journey-green Bay | |
123 S Van Buren Green Bay WI 54301-4441 | |
(920) 336-8960 | |
Not Available |
Full Name | Northwest Journey-green Bay |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 123 S Van Buren, Green Bay, Wisconsin |
Authorized Official Name and Position | Jackie Maurer (OFFICE SUPERVISOR) |
Authorized Official Contact | 7153497069 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northwest Journey-green Bay Po Box 309 Siren WI 54872-0309 Ph: (715) 349-5801 | Northwest Journey-green Bay 123 S Van Buren Green Bay WI 54301-4441 Ph: (920) 336-8960 |
NPI Number | 1295224657 |
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Provider Enumeration Date | 05/01/2018 |
Last Update Date | 05/01/2018 |
Identifier | Type | State | Issuer |
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1295224657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3197 (Wisconsin) | Primary |
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