| NPI | 1295486579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALJINDER K HAHN Counselor 920-917-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |