Organization
FAMILY YOUTHWORKS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORY J HANSEN (RECEPTIONST)
(920) 803-8180
Entity
Organization
Contact information
Practice address
2205 ERIE AVE, SHEBOYGAN, WI 53081-3734
(920) 803-8180
(920) 803-8387
Mailing address
2205 ERIE AVE, SHEBOYGAN, WI 53081-3734
(920) 803-8180
(920) 803-8387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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