| NPI | 1902023955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GRAEBNER VP/Chief Adminstrative Officer 920-451-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-01-23 |