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Organization
BELLIN PSYCHIATRIC CENTER INC
Active
Organization
BELLIN PSYCHIATRIC CENTER INC
Active
Other names
Bellin Behavior Health Marinette, BELLIN PSYCHIATRIC CENTER MARINETTE
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(920) 433-6073
(920) 437-0533
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598728776
—
WI
01
—
2759
WI DSL LICENSE
WI
Enumeration date
04/20/2016
Last updated
07/10/2019
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