Organization
BELLIN PSYCHIATRIC CENTER INC
Active
Other names
Bellin Behavior Health Marinette, BELLIN PSYCHIATRIC CENTER MARINETTE
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(920) 433-6073
(920) 437-0533
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598728776
—
WI
01
—
2759
WI DSL LICENSE
WI
Enumeration date
04/20/2016
Last updated
07/10/2019
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