Family Services - Residential Treatment

LBN: Family Services Of Northeast Wisconsin, Inc.
Family Services - Residential Treatment is an health care organization with primary practice located at 3430 Spirit Way , Green Bay WI 54304-5687. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Family Services Of Northeast Wisconsin, Inc. can be contacted via phone (920) 330-0339, or through Martin, Thomas via phone (920) 436-6800.

Contact Information

Primary practice address
3430 Spirit Way Green Bay WI 54304-5687
Fax: (920) 330-9060
Website:
Authorized official contact:
Name: Martin, Thomas

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 1005260 Wisconsin

Profile Details

NPI number 1225155245
LBN Legal business name Family Services Of Northeast Wisconsin, Inc.
DBA Doing business as Family Services - Residential Treatment
Authorized official Martin, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225155245 NPPES
Wisconsin MEDICAID 43016200

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