| NPI | 1003271180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN OSTEEN Executive Director 920-887-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WI 3106) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |