| NPI | 1679705966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LMF M LORI M. FURE Director 920-683-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1555) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2025-01-29 |