| NPI | 1497908347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WEBB Executive Director 920-735-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2022-07-21 |