| NPI | 1245516806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA K. HENRY President 920-898-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 506123) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |