| NPI | 1023589793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA GUENTHER-PAL Owner 920-944-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2024-11-22 |