Family Services of Northeast Wisconsin INC

NPI #1275525925 in Menasha, Wisconsin

Provider Information

NPI Number: 1275525925
Entity Type: Organization
Organization Name: Family Services of Northeast Wisconsin INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 18, 2005
Last Updated: Jun 4, 2009

Practice Location

Address: 1810 APPLETON RD
City: Menasha
State: Wisconsin
ZIP Code: 54952-1110
Phone: (920) 739-4226

Authorized Official

Name: MR. THOMAS E MARTIN, LCSW
Title: PRESIDENT / CEO
Phone: (920) 436-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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