Healthcare Provider Details

I. General information

NPI: 1427984731
Provider Name (Legal Business Name): APRICITY OUTPATIENT & PEER SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S GLENRIDGE CT
APPLETON WI
54914-3905
US

IV. Provider business mailing address

201 S GLENRIDGE CT
APPLETON WI
54914-3905
US

V. Phone/Fax

Practice location:
  • Phone: 920-722-2345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS COOPMAN
Title or Position: BILLING SPECIALIST
Credential:
Phone: 920-215-2922