Organization
DOOR COUNTY DEPT OF COMMUNITY PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ANTHONY KREBSBACH ICS, CSAC (PROGRAM DIRECTOR)
(920) 746-2345
Entity
Organization
Contact information
Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-2345
(920) 746-2439
Mailing address
421 NEBRASKA STREET, STURGEON BAY, WI 54235-2249
(920) 746-2345
(920) 746-2439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1283
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32976600
—
WI
Enumeration date
02/13/2009
Last updated
02/13/2009
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