| NPI | 1932690302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA AYALA Owner/Counselor 920-750-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |