County of Menominee

NPI #1922161926 in Keshena, Wisconsin

Provider Information

NPI Number: 1922161926
Entity Type: Organization
Organization Name: County of Menominee
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 19, 2006
Last Updated: Dec 28, 2022

Practice Location

Address: W3272 WOLF RIVER DR
City: Keshena
State: Wisconsin
ZIP Code: 54135-9202
Phone: (715) 799-3861

Authorized Official

Name: MRS. SHANNON WILBER
Title: EXECUTIVE DIRECTOR
Phone: (715) 799-3861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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