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W3275 Wolf River Dr Keshena WI 54135-9202 | |
| (715) 799-5451 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | W3275 Wolf River Dr, Keshena, Wisconsin |
| Authorized Official Name and Position | Brian Charlier (PRESIDENT/CEO) |
| Authorized Official Contact | 9206761148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
W3275 Wolf River Dr Keshena WI 54135-9202 Ph: (715) 799-5451 | W3275 Wolf River Dr Keshena WI 54135-9202 Ph: (715) 799-5451 |
| NPI Number | 1114582988 |
|---|---|
| Provider Enumeration Date | 05/07/2019 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114582988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Menominee County Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W3272 Wolf River Driver, Keshena, WI 54135 Phone: 715-799-3861 | |
Menominee County Health & Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W3272 Wolf River Rd, Keshena, WI 54135 Phone: 715-799-3861 Fax: 715-799-3517 | |