| NPI | 1063693273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL KAY ROTHERHAM Owner/Therapist/President 920-497-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: WI 40554-020) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |