Organization
BELLIN PSYCHIATRIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (PROVIDER/CLINIC MAINTENANCE)
(920) 445-7222
Entity
Organization
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
283Q00000X
Psychiatric Hospital
Primary
263
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098
WI MEDICAID DSL
WI
01
—
263
WI LICENSE NUMBER
WI
Enumeration date
06/30/2006
Last updated
04/16/2009
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