NPI 1063693273

Child and Family Consultants

Organisation Adolescent and Children Mental Health Clinic/Center Green Bay, WI

Practice location

Address: 840 Willard Dr Suite 201, Green Bay, WI 54304-5204
Phone: (920) 497-0788
Fax: (920) 497-0792

Authorised official

Name: Cheryl Kay Rotherham
Title: Owner/Therapist/President
Phone: (920) 497-0788

Registered specialties

Adolescent and Children Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence 40554-020 (WI)

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1063693273
Entity type: Organization
NPI issued: 15 Nov 2007
Record last updated: 15 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.