| NPI | 1376724765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH HUNKINS Ar Manager 920-436-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI HFS61.91) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |