| NPI | 1154675924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A BRINKMAN Clinic Director 920-457-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |