| NPI | 1538175195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY EICHHORST Finance & Administration Director 920-886-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WI 1355) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-02-08 |