| NPI | 1669676722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE AMELIE DELAIN President 920-437-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1530) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |