| NPI | 1225138126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NORMAN DEYOUNG Psychologist Co Owner 920-324-4358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1228) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |