Organization · NPI-2

County Of Outagamie

Clinic/Center, Mental Health (Including Community Mental Health Center) · Appleton, WI

NPI number1629138995

StatusActive

Last updated in NPPESMay 2, 2025

Details

NPI: 1629138995
Entity type: Organization (NPI-2)
Legal business name: County Of Outagamie
Organization subpart: No
Enumeration date: Dec 9, 2006
Certification date: May 2, 2025
Last updated: May 2, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	1724	WI
261QM1300X	Clinic/Center, Multi-Specialty	–	–
261QP2300X	Clinic/Center, Primary Care	–	–

Practice location

320 S. Walnut St.
Appleton, WI 54911-5918

Phone 920-832-4741 · Fax 920-832-5164

Mailing address

320 S. Walnut St.
Appleton, WI 54911-5918

Phone 920-832-4741 · Fax 920-832-5164

Authorized official

John Rathman
Interim Director Hhs
9208325187

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