OrganizationActive
Treatment Providers LLC
NPI 1518498047 · Substance Use Disorder Rehabilitation Clinic/Center · Green Bay, WI
Provider details
- NPI number
- 1518498047
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Adeyemi Fatoki, Medical Director/Partner(920) 770-5061
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2731 N Packerland Dr Ste a
Green Bay, WI 54303
Phone: (920) 770-5061
Fax: (920) 770-5467
Street-level locationGet directions
Mailing address
2731 N Packerland Dr
Green Bay, WI 54303-4855
Registry dates
- Enumerated
- 2017-03-26
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.