| NPI | 1043725922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI SCHMIDT Owner 920-328-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 5618-125) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-02-01 |