| NPI | 1609248269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLIER COO 920-676-1148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 284300000X Special Hospital |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2025-01-08 |