| NPI | 1164889770 |
|---|---|
| Doing Business As | WINGS OF EAGLES COUNSELING CLINIC |
| Entity Type | Organization |
| Authorized Contact | LESLIE CARROLL OUSLEY Counselor/CEO 920-228-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |