| NPI | 1801824305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Provider/Clinic Maintenance 920-445-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: WI 263) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-04-16 |