Organization · Type 2 NPI

Children's Medical Group, Inc

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

NPI number 1154211191 Active

Practice location

301 E Saint Joseph St
Green Bay, WI 54301-2241

Fax (414) 307-1850

Mailing address

9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Developmental - Behavioral Pediatrics Physician 2080P0006XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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

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About NPI 1154211191

Children's Medical Group, Inc's National Provider Identifier is 1154211191, issued on Jul 9, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Green Bay, WI. The record was last updated on Jul 9, 2025.