| NPI | 1063075018 |
|---|---|
| Doing Business As | ST. VINCENT HOSPITAL - LIBERTAS OF SHAWANO |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLIER President/CEO 920-676-1148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2021-12-23 |