Organization
COUNTY OF KEWAUNEE
Active
Other names
Kewaunee Co Dept Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA M ANNOYE (DIRECTOR)
(920) 388-7030
Entity
Organization
Contact information
Practice address
810 LINCOLN STREET, KEWAUNEE, WI 54216-1140
(920) 388-7030
(920) 388-7044
Mailing address
810 LINCOLN STREET, KEWAUNEE, WI 54216-1140
(920) 388-7030
(920) 388-7044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1466
WI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
2288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32979271
MA CRISIS INTERVENTION
WI
01
—
41225200
MA PT OT
WI
05
—
42140100
—
WI
01
—
42551900
MA ST
WI
05
—
43073100
—
WI
05
—
43423600
—
WI
Enumeration date
10/14/2005
Last updated
05/18/2023
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