Organization · Type 2 NPI

Menominee Indian Tribe of Wisconsin

Mental Health Clinic/Center (Including Community Mental Health Center) · Keshena, WI

NPI number 1124291802 Active

Practice location

W3275 Wolf River Road
Keshena, WI 54135

Call (715) 799-3361 Map

Fax (715) 799-3099

Mailing address

PO Box 970
Keshena, WI 54135-0970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X1588 (WI)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1124291802

Menominee Indian Tribe of Wisconsin's National Provider Identifier is 1124291802, issued on Apr 2, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Keshena, WI. The record was last updated on Apr 2, 2008.