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Organization

NORTHWOODS BEHAVIORAL HEALTH CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUTH A MULLINS M.S. (LICENSED PSYCHOTHERAPIST)
(920) 217-7910
Entity
Organization

Contact information

Practice address
600 W BROAD ST, CRANDON, WI 54520-1170
(920) 217-7910
Mailing address
600 W BROAD ST, CRANDON, WI 54520-1170
(920) 217-7910

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1714-125
WI

Other

Enumeration date
05/09/2012
Last updated
05/09/2012
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