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Mental Illness Community Based Residential Treatment Facility · GREEN BAY, WI

Individual Active NPI 1841837952

Taxonomy & licensure

Specialty	Code	Primary	License	State
Mental Illness Community Based Residential Treatment Facility	320800000X	✓	171M00000X	—

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.