| NPI | 1699948471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN L RICKERT Owner 920-884-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2775) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |