| NPI | 1245557941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M TOLTZMAN KNAPP Owner 920-393-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 4380-125) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2012-10-17 |