Forest County Potawatomi Health & Wellness Center

NPI #1376650499 in Crandon, Wisconsin

Provider Information

NPI Number: 1376650499
Entity Type: Organization
Organization Name: Forest County Potawatomi Health & Wellness Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 24, 2006
Last Updated: Dec 9, 2020

Practice Location

Address: 8201 MISH KO SWEN DR
City: Crandon
State: Wisconsin
ZIP Code: 54520-8631
Phone: (715) 478-4300

Authorized Official

Name: MR. NED DANIELS
Title: TRIBAL CHAIRMAN
Phone: (715) 478-4824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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