| NPI | 1770986457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW C STEIER Coordinator 920-217-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9508) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2025-01-22 |