| Willow Creek Behavioral Health | |
|
1351 Ontario Rd Green Bay WI 54311-8302 | |
| (920) 328-1220 | |
| Not Available |
| Full Name | Willow Creek Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1351 Ontario Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Paul Gilbert (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 6157164924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Behavioral Health 8295 Tournament Dr Ste 201 Memphis TN 38125-8913 Ph: () - | Willow Creek Behavioral Health 1351 Ontario Rd Green Bay WI 54311-8302 Ph: (920) 328-1220 |
| NPI Number | 1861993172 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861993172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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