Organization
ONEIDA NATION
Active
Other names
Ka Ni Kuhli Yo Family Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARI KRIESCHER MS, LPC, CSAC, ICS (MANAGER)
(920) 490-3737
Entity
Organization
Contact information
Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 490-3790
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 490-3790
(920) 490-3858
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
126984-121
WI
251B00000X
Case Management Agency
127487-121
WI
251B00000X
Case Management Agency
Primary
6502-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346230695
—
WI
Enumeration date
09/23/2009
Last updated
12/03/2020
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