| NPI | 1841334620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LOUX President And CEO 920-531-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XM0800X Occupational Therapist, Mental Health | |
| 251S00000X (Licence: WI 2750) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-05-31 |