| NPI | 1144118803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MATTHEWS Director, Revenue Cycles Management 920-234-6634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-09-05 |