| Wisconsin Wellness Mh, Llc | |
|
5643 W Waterford Ln Appleton WI 54913-8438 | |
| (920) 404-2100 | |
| Not Available |
| Full Name | Wisconsin Wellness Mh, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5643 W Waterford Ln, Appleton, Wisconsin |
| Authorized Official Name and Position | Ryan Joseph Rohde (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7152810612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Wellness Mh, Llc 5643 W Waterford Ln Appleton WI 54913-8438 Ph: (920) 404-2100 | Wisconsin Wellness Mh, Llc 5643 W Waterford Ln Appleton WI 54913-8438 Ph: (920) 404-2100 |
| NPI Number | 1548041924 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548041924 | NPI | - | NPPES |
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