| NPI | 1619355351 |
|---|---|
| Doing Business As | PREVEA HEALTH |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ALLEN Chief Financial Officer 920-496-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2022-01-13 |