| NPI | 1114637667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON D BROWN Owner/CEO 920-252-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-04-22 |