| NPI | 1255450086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J PANZER President 920-738-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |