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Innovative Wisconsin, Llc
Community/Behavioral Health Agency in Green Bay, Wisconsin
NPI 1871972349

Innovative Wisconsin, Llc is a Community/Behavioral Health Agency based in Green Bay, WI. Innovative Wisconsin, Llc practices in Green Bay, WI. The NPI Number for Innovative Wisconsin, Llc is 1871972349 and holds a License No. (Wisconsin).

The current practice location address for Innovative Wisconsin, Llc is 445 S Madison St, Green Bay, WI and can be reached out via phone at 920-431-0962 and via fax at 920-884-1967.

Location: 445 S Madison St, Green Bay, WI, 54301-4101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871972349
Provider Name
Innovative Wisconsin, Llc
Credential
Provider Entity Type
Organization
Address
445 S Madison St, Green Bay, WI, 54301-4101
Phone Number
920-431-0962
Fax Number
920-884-1967
Provider Enumeration Date
05/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
445 S Madison St
City
Green Bay
State
Wisconsin
Zip
54301-4101
Phone Number
920-431-0962
Fax Number
920-884-1967
person
Provider Business Mailing Address Details
Address
445 S Madison St
City
Green Bay
State
Wisconsin
Zip
54301-4101
Phone Number
920-431-0962
Fax Number
920-884-1967
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Wisconsin)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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