| NPI | 1750151395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN WORTH Nurse Practitioner/Owner 920-944-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-11-05 |