| NPI | 1144111246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA LUCHTERHAND-KILLIAN Behavioral Health Supervisor 920-391-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |