Organization
ONEIDA NATION
Active
Other names
Ka Ni Kuhli Yo Family Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARI KRIESCHER MS LPC CSAC ICS (BEHAVIORAL HEALTH MANAGER)
(920) 490-3790
Entity
Organization
Contact information
Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 490-3790
(920) 490-3737
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 490-3790
(920) 490-3883
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42189100
—
WI
Enumeration date
10/13/2005
Last updated
12/03/2020
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