NPI | 1154211191 |
---|---|
Doing Business As | GREEN BAY MENTAL HEALTH WALK-IN CLINIC |
Entity Type | Organization |
Authorized Contact | SHEILA REUTEMAN Sr. Credentialing Coordinator 414-266-7615 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
Enumeration Date | 2025-07-09 |
Last Update Date | 2025-07-09 |