Organization
MAMMA GESE
Active
Other names
Where It Starts
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KING (DIRECTOR)
(920) 327-9124
Entity
Organization
Contact information
Practice address
217 N MADISON ST STE 4, GREEN BAY, WI 54301-5103
(920) 228-3199
Mailing address
217 N MADISON ST STE 4, GREEN BAY, WI 54301-5103
(920) 228-3199
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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