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Organization
GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN INC
Active
Organization
GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN INC
Active
Other names
Early Intervention Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A WHITE (CFO)
(920) 731-6601
Entity
Organization
Contact information
Practice address
1800 APPLETON ROAD, MENASHA, WI 54952
(920) 731-6601
(920) 968-6977
Mailing address
1800 APPLETON ROAD, MENASHA, WI 54952
(920) 731-6601
(920) 968-6977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41215200
—
WI
Enumeration date
11/28/2006
Last updated
08/22/2020
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