| NPI | 1699094912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA R SCHROEDER Member 920-257-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2911) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2026-07-16 |