| NPI | 1629138995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RATHMAN Interim Director Hhs 920-832-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health (Licence: WI 1724) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2025-05-02 |