| NPI | 1083113021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA L VONCK Owner/Therapist 920-239-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 7786-123) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-11-07 |