| NPI | 1497960645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI L KUEFFER Business Manager 920-261-4100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 1326) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-09-14 |