| NPI | 1861592842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HLAVKA Director Of Clinical Services 920-722-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1830) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-02-14 |