| Choices Family Education Services Of Wi Llc | |
|
328 Mill St Howards Grove WI 53083-1219 | |
| (920) 698-0821 | |
| Not Available |
| Full Name | Choices Family Education Services Of Wi Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 328 Mill St, Howards Grove, Wisconsin |
| Authorized Official Name and Position | Brian Darnell Fears (DIRECTOR) |
| Authorized Official Contact | 9206980821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choices Family Education Services Of Wi Llc Po Box 915 Sheboygan WI 53082-0915 Ph: (920) 698-0821 | Choices Family Education Services Of Wi Llc 328 Mill St Howards Grove WI 53083-1219 Ph: (920) 698-0821 |
| NPI Number | 1114163847 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114163847 | NPI | - | NPPES |
| 42213600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |