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Forest County Potawatomi Health & Wellness Center
Adolescent and Children Mental Health Clinic/Center in Crandon, Wisconsin
NPI 1376650499

Forest County Potawatomi Health & Wellness Center is an Adolescent and Children Mental Health Clinic/Center based in Crandon, WI and is specialized in Adolescent and Children Mental Health. Forest County Potawatomi Health & Wellness Center practices in Crandon, WI. The NPI Number for Forest County Potawatomi Health & Wellness Center is 1376650499 and holds a License No. (Wisconsin).

The current practice location address for Forest County Potawatomi Health & Wellness Center is 8201 Mish Ko Swen Dr, Crandon, WI and can be reached out via phone at 715-478-4300 and via fax at 715-478-4490.

Location: 8201 Mish Ko Swen Dr, Crandon, WI, 54520-0396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376650499
Provider Name
Forest County Potawatomi Health & Wellness Center
Credential
Provider Entity Type
Organization
Address
8201 Mish Ko Swen Dr, Crandon, WI, 54520-0396
Phone Number
715-478-4300
Fax Number
715-478-4490
Provider Enumeration Date
08/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42182600 05 WI
institution
Provider Business Practice Location Address Details
Address
8201 Mish Ko Swen Dr
City
Crandon
State
Wisconsin
Zip
54520-8631
Phone Number
715-478-4300
Fax Number
715-478-4490
person
Provider Business Mailing Address Details
Address
8201 Mish Ko Swen Dr
City
Crandon
State
Wisconsin
Zip
54520-8631
Phone Number
715-478-4300
Fax Number
715-478-4490
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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