Organization
MAEHNOWESEKIYAH WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDIE MAE CALDWELL MA, LPC (DIRECTOR OF WELLNESS PROGRAMS)
(715) 799-3835
Entity
Organization
Contact information
Practice address
N2150 KESAEHKAHTEK RD, GRESHAM, WI 54128-9602
(715) 799-3835
(715) 799-3836
Mailing address
N2150 KESAEHKAHTEK RD, GRESHAM, WI 54128-9602
(715) 799-3835
(715) 799-3836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1554
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42151300
—
WI
Enumeration date
07/22/2008
Last updated
08/09/2022
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