| NPI | 1861592842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SPORLEDER Executive Director 920-722-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1830) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2014-07-03 |