Organization
BELLIN PSYCHIATRIC CENTER
Active
Parent organization
BELLIN PSYCHIATRIC CENTER
Other names
DAY TREATMENT AODA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLIN PSYCHIATRIC CENTER
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7222
Entity
Organization
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1098
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065921
WI MA PAYOR ID - AODA
WI
Enumeration date
04/16/2010
Last updated
04/16/2010
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