Organization
FAMILY SERVICES OF NORTHEAST WISCONSIN INC
Active
Other names
Family Services of NEW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E MARTIN LCSW (PRESIDENT / CEO)
(920) 436-6800
Entity
Organization
Contact information
Practice address
1810 APPLETON RD, MENASHA, WI 54952-1110
(920) 739-4226
(920) 739-7639
Mailing address
1810 APPLETON RD, MENASHA, WI 54952-1110
(920) 739-4226
(920) 739-7639
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42222600
—
WI
Enumeration date
08/18/2005
Last updated
06/04/2009
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