| NPI | 1487419180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON BROWN CEO 920-252-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-05-10 |