NPI | 1033806955 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRISSA PANNUZZO Clinical Therapist/Owner 920-886-5946 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-04-20 |
Last Update Date | 2023-04-20 |