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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