NPI | 1578091104 |
---|---|
Doing Business As | LONGBRANCH WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | EMILY ELIZABETH MEYERS CEO 920-309-0541 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TP0016X Psychologist, Prescribing (Medical) | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
323P00000X Psychiatric Residential Treatment Facility | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2017-05-26 |
Last Update Date | 2024-11-04 |