Organization
FAMILY SERVICES OF NORTHEAST WI
Active
Other names
Family Services - Fox Valley Day Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN K O'BRIEN (CREDENTIALING MANAGER)
(920) 436-6800
Entity
Organization
Contact information
Practice address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 433-3372
Mailing address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 432-5966
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1332
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43002300
—
WI
Enumeration date
03/26/2007
Last updated
06/05/2025
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