| NPI | 1669521233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE MEYER Co Owner/Co Director 920-921-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1274) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-12-26 |