NPI | 1194842880 |
---|---|
Other Name | FAMILY SERVICES - FOX VALLEY DAY TREATMENT |
Entity Type | Organization |
Authorized Contact | CAROLYN K O'BRIEN Credentialing Manager 920-436-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251B00000X Case Management (Licence: WI 1332) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2025-06-05 |