| Prevail Behavioral Health Sc | |
|
15 Park Pl Ste 200 Appleton WI 54914-8250 | |
| (920) 475-0333 | |
| Not Available |
| Full Name | Prevail Behavioral Health Sc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15 Park Pl Ste 200, Appleton, Wisconsin |
| Authorized Official Name and Position | Emily L Russ (OWNER) |
| Authorized Official Contact | 9204750333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevail Behavioral Health Sc 15 Park Pl Ste 200 Appleton WI 54914-8250 Ph: (920) 475-0333 | Prevail Behavioral Health Sc 15 Park Pl Ste 200 Appleton WI 54914-8250 Ph: (920) 475-0333 |
| NPI Number | 1881371540 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881371540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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