| Day Treatment Aoda | |
|
301 E Saint Joseph St Green Bay WI 54301-2241 | |
| (920) 433-3630 | |
| Not Available |
| Full Name | Day Treatment Aoda |
|---|---|
| Speciality | Clinic/center |
| Location | 301 E Saint Joseph St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204457222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Day Treatment Aoda 301 E Saint Joseph St Green Bay WI 54301-2241 Ph: (920) 433-3630 | Day Treatment Aoda 301 E Saint Joseph St Green Bay WI 54301-2241 Ph: (920) 433-3630 |
| NPI Number | 1457677338 |
|---|---|
| Provider Enumeration Date | 04/16/2010 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457677338 | NPI | - | NPPES |
| 10065921 | Other | WI | WI MA PAYOR ID - AODA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1098 (Wisconsin) | Primary |
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