| NPI | 1124322284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE ANTHONY SHEFCHIK Clinical Director 920-770-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2021-11-16 |