| NPI | 1508125618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A MULLINS Licensed Psychotherapist 920-217-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 1714-125) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |