| NPI | 1568714657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE LINDBERG Clinical Director 920-750-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1550-226) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |