| Reflections Community Service Program Llc | |
|
323 N Morrison St Appleton WI 54911-5404 | |
| (920) 840-6247 | |
| Not Available |
| Full Name | Reflections Community Service Program Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 323 N Morrison St, Appleton, Wisconsin |
| Authorized Official Name and Position | Devante Blanks (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 7738517381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflections Community Service Program Llc 3310 Mid Valley Dr De Pere WI 54115-9495 Ph: (920) 469-9646 | Reflections Community Service Program Llc 323 N Morrison St Appleton WI 54911-5404 Ph: (920) 840-6247 |
| NPI Number | 1609508183 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609508183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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