Organization
GOODWILL INDUSTRIES OF NORTHERN WISCONSIN AND UPPER MICHIGAN INC.
Active
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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