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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