Organization
NEWBERRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE F BRAAKSMA PH,D (PRESIDENT, OWNER)
(262) 338-1900
Entity
Organization
Contact information
Practice address
125 S MAIN ST, STE. B, WEST BEND, WI 53095-3361
(262) 338-1900
(262) 338-1837
Mailing address
125 S MAIN ST, STE. B, WEST BEND, WI 53095-3361
(262) 338-1900
(262) 338-1837
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1236 057
WI
Other
Enumeration date
03/29/2007
Last updated
10/04/2007
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