Organization
FAMILY SERVICES OF NORTHEAST WISCONSIN, INC.
Active
Other names
Family Services - Fox Valley Day Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MARTIN (PRESIDENT-CEO)
(920) 436-6800
Entity
Organization
Contact information
Practice address
1500 W ROGERS AVE, APPLETON, WI 54914-5007
(920) 954-6804
(920) 954-6806
Mailing address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2561
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43008200
—
WI
Enumeration date
03/23/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up