Willow Creek Behavioral Health | |
1351 Ontario Rd Green Bay WI 54311-8302 | |
(920) 328-1220 | |
Not Available |
Full Name | Willow Creek Behavioral Health |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1351 Ontario Rd, Green Bay, Wisconsin |
Authorized Official Name and Position | Paul Gilbert (CHIEF LEGAL OFFICER) |
Authorized Official Contact | 6157164924 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Willow Creek Behavioral Health 8295 Tournament Dr Ste 201 Memphis TN 38125-8913 Ph: () - | Willow Creek Behavioral Health 1351 Ontario Rd Green Bay WI 54311-8302 Ph: (920) 328-1220 |
NPI Number | 1861993172 |
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Provider Enumeration Date | 02/22/2018 |
Last Update Date | 09/29/2023 |
Certification Date | 09/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861993172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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