Goodwill Industries of Northern Wisconsin and Upper Michigan Inc.

NPI #1467927145 in Marinette, Wisconsin

Provider Information

NPI Number: 1467927145
Entity Type: Organization
Organization Name: Goodwill Industries of Northern Wisconsin and Upper Michigan Inc.
Primary Specialty: Day Training/Habilitation Specialist
Enumeration Date: Oct 9, 2018
Last Updated: Oct 9, 2018

Practice Location

Address: 1805 PIERCE AVE
City: Marinette
State: Wisconsin
ZIP Code: 54143-3339
Phone: (715) 732-0563

Authorized Official

Name: MR. ERIK BERGH
Title: SR. DIRECTOR, WORKFORCE DEVELOPMENT
Phone: (906) 273-1830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X
Day Training/Habilitation Specialist	373H00000X	Primary

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