# BELLIN PSYCHIATRIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BELLIN PSYCHIATRIC CENTER
- **Other names:** DAY TREATMENT AODA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457677338
- **Legal business name:** BELLIN PSYCHIATRIC CENTER
- **Authorized official:** DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (920) 445-7222

## Contact information

- **Practice address:** 301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
- **Practice address phone:** (920) 433-3630
- **Mailing address:** 301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
- **Mailing address phone:** (920) 433-3630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1098 | WI | Yes |

## Other

- **Enumeration date:** 04/16/2010
- **Last updated:** 04/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10065921 | WI MA PAYOR ID - AODA | WI |