Organization
FAMILY BEHAVIORAL RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL JEAN BURKS MS, LPC (MEMBER)
(920) 430-9100
Entity
Organization
Contact information
Practice address
2301 RIVERSIDE DR, SUITE 8, GREEN BAY, WI 54301-1907
(920) 430-9100
(920) 430-9101
Mailing address
2301 RIVERSIDE DR, SUITE 8, GREEN BAY, WI 54301-1907
(920) 430-9100
(920) 430-9101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2480
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42232600
—
WI
Enumeration date
09/05/2007
Last updated
09/05/2007
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