NPI | 1508551920 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA KERSTEN Lcsw 920-450-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-04-11 |
Last Update Date | 2024-07-18 |