| NPI | 1649354077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY BACKENGER Partner/Psycho Therapist 920-733-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 1982) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |