Organization
KOENIG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALECIA G. KOENIG (PRESIDENT)
(920) 627-2164
Entity
Organization
Contact information
Practice address
926 S 8TH ST, MANITOWOC, WI 54220-4535
(920) 683-4661
Mailing address
11003 SPRING LAKE RD, VALDERS, WI 54245-9588
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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