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Organization
BELLIN PSYCHIATRIC CENTER INC
Active
Organization
BELLIN PSYCHIATRIC CENTER INC
Active
Other names
BELLIN PSYCHIATRIC CENTER ONCOLOGY INC, Bellin Behavior Health Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
1580 COMMANCHE AVE, GREEN BAY, WI 54313-5751
(920) 431-5687
Mailing address
1580 COMMANCHE AVE, GREEN BAY, WI 54313-5751
(920) 431-5687
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2241
WISCONSIN DSL
WI
Enumeration date
02/01/2010
Last updated
07/10/2019
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