Northwoods Behavioral Health Center, Llc
Clinic/Center in Crandon, WI(View on Map)
Legal Business Name
Northwoods Behavioral Health Center, Llc
NPI Number
1508125618
NPI Type
Organization
Enumeration Date
05/09/2012
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
1714-125
Contact
Information
Purpose
Mailing
Location
Address
600 W BROAD ST
600 W BROAD ST
City
Crandon
Crandon
State
WI
WI
Postal Code
54520-1170
54520-1170
Country
US
US
Telephone Number
(920) 217-7910
(920) 217-7910
Authorized Official
Name
Ruth Mullins
Title or Position
LICENSED PSYCHOTHERAPIST
Telephone Number
(920) 217-7910
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/09/2012