| Northwoods Behavioral Health Center, Llc | |
|
600 W Broad St Crandon WI 54520-1170 | |
| (920) 217-7910 | |
| Not Available |
| Full Name | Northwoods Behavioral Health Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 600 W Broad St, Crandon, Wisconsin |
| Authorized Official Name and Position | Ruth A Mullins (LICENSED PSYCHOTHERAPIST) |
| Authorized Official Contact | 9202177910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Behavioral Health Center, Llc 600 W Broad St Crandon WI 54520-1170 Ph: (920) 217-7910 | Northwoods Behavioral Health Center, Llc 600 W Broad St Crandon WI 54520-1170 Ph: (920) 217-7910 |
| NPI Number | 1508125618 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508125618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1714-125 (Wisconsin) | Primary |
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