Jacobs Well Presbyterian Churcha | |
3340 Lineville Rd Green Bay WI 54313-7237 | |
(920) 264-9564 | |
Not Available |
Full Name | Jacobs Well Presbyterian Churcha |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3340 Lineville Rd, Green Bay, Wisconsin |
Authorized Official Name and Position | Spencer Rea Hansen Thomas (PASTOR OF CARE AND COUNSELING) |
Authorized Official Contact | 3095322364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jacobs Well Presbyterian Churcha 3340 Lineville Rd Green Bay WI 54313-7237 Ph: (920) 264-9564 | Jacobs Well Presbyterian Churcha 3340 Lineville Rd Green Bay WI 54313-7237 Ph: (920) 264-9564 |
NPI Number | 1164006573 |
---|---|
Provider Enumeration Date | 05/11/2021 |
Last Update Date | 05/11/2021 |
Certification Date | 05/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164006573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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