institution
Menominee Indian Tribe Of Wisconsin
Mental Health Clinic/Center (Including Community Mental Health Center) in Keshena, Wisconsin
NPI 1124291802

Menominee Indian Tribe Of Wisconsin is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Keshena, WI and is specialized in Mental Health (Including Community Mental Health Center). Menominee Indian Tribe Of Wisconsin practices in Keshena, WI. The NPI Number for Menominee Indian Tribe Of Wisconsin is 1124291802 and holds a License No. 1588 (Wisconsin).

The current practice location address for Menominee Indian Tribe Of Wisconsin is W3275 Wolf River Road, Keshena, WI and can be reached out via phone at 715-799-3361 and via fax at 715-799-3099.

Location: W3275 Wolf River Road, Keshena, WI, 54135-0970
institution
Provider Profile Details
NPI Number
1124291802
Provider Name
Menominee Indian Tribe Of Wisconsin
Credential
Provider Entity Type
Organization
Address
W3275 Wolf River Road, Keshena, WI, 54135-0970
Phone Number
715-799-3361
Fax Number
715-799-3099
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42173700 05 WI
institution
Provider Business Practice Location Address Details
Address
W3275 Wolf River Road
City
State
Zip
54135
Phone Number
715-799-3361
Fax Number
715-799-3099
person
Provider Business Mailing Address Details
Address
W3275 Wolf River Road
City
State
Zip
54135
Phone Number
715-799-3361
Fax Number
715-799-3099
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
1588 (Wisconsin)
Definition
Definition to come...
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