Organization
GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN INC
Active
Other names
Early Intervention Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A WHITE (CFO)
(920) 731-6601
Entity
Organization
Contact information
Practice address
1800 APPLETON ROAD, MENASHA, WI 54952
(920) 731-6601
(920) 968-6977
Mailing address
1800 APPLETON ROAD, MENASHA, WI 54952
(920) 731-6601
(920) 968-6977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41215200
—
WI
Enumeration date
11/28/2006
Last updated
08/22/2020
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