Organization · Type 2 NPI
Ecumenical Health Center
Mental Health Clinic/Center (Including Community Mental Health Center) · Green Bay, WI
NPI number
1396936175
Active
Practice location
1540 Capitol Dr, Suite 104
Green Bay, WI 54303-2235
Fax (920) 491-9800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counseling Psychologist | 103TC1900X | 970057 (WI) |
| Community/Behavioral Health Agency | 251S00000X | 104124 (WI) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 970057 (WI) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 104124 (WI) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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About NPI 1396936175
Ecumenical Health Center's National Provider Identifier is 1396936175, issued on Aug 6, 2007. 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 Aug 6, 2007.