| NPI | 1851954010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM M HUNT Psychotherapist 920-423-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2026-05-20 |