| NPI | 1871691667 |
|---|---|
| Doing Business As | D/B/A GREEN BAY WELLNESS & BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAREN SUE MERVILDE Office Manager 920-437-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 107-123) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-16 |