| NPI | 1891051363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI ANN BEMOWSKI Psychologist 920-544-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2956-57) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |