| NPI | 1831202621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI L KUEFFER Business Manager 920-261-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1326) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-08-29 |