| NPI | 1356568299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES SCHREITER Executive Director 920-430-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 341-132) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |