Organization · Type 2 NPI

Spectrum Behavioral Health LLC

Community/Behavioral Health Agency · Green Bay, WI

NPI number 1053718890 Active

Practice location

1496 Bellevue St, Suite 101
Green Bay, WI 54311-4205

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	4151-125 (WI)
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	1826-33 (WI)

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1053718890

Spectrum Behavioral Health LLC's National Provider Identifier is 1053718890, issued on Nov 21, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Green Bay, WI. The record was last updated on Jun 17, 2015.