Organization Name: | COUNTY OF DOOR-DOOR COUNTY LIBRARY |
NPI Number: | 1245265693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH ALLEN KREBSBACH (PROGRAM DIRECTOR) |
Mailing Address: | 421 Nebraska St Sturgeon Bay |
State: | WI US |
Postal Code: | 542352225 |
Phone Number: | 9207462345 |
Fax Number: | 9207462439 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1283 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |