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
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