Organization
OPTIONS TREATMENT PROGRAMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMEKO HAGEN (DIRECTOR)
(920) 735-9010
Entity
Organization
Contact information
Practice address
1000 N LYNNDALE DR, SUITE C, APPLETON, WI 54914-3057
(920) 735-9010
(920) 735-9050
Mailing address
1000 N LYNNDALE DR, SUITE C, APPLETON, WI 54914-3057
(920) 735-9010
(920) 735-9050
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42235900
—
WI
Enumeration date
04/27/2007
Last updated
11/18/2013
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