Organization
GOODWILL INDUSTRIES OF NORTHERN WISCONSIN AND UPPER MICHIGAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK BERGH (SR. DIRECTOR, WORKFORCE DEVELOPMENT)
(906) 273-1830
Entity
Organization
Contact information
Practice address
1805 PIERCE AVE, MARINETTE, WI 54143-3339
(715) 732-0563
Mailing address
201 RUBLEIN ST STE A, MARQUETTE, MI 49855-4060
(906) 273-1830
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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