| NPI | 1477873388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K MORLOCK Substance Abuse Counselor 920-830-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1184859936) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |