| NPI | 1942478649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA K. DELFORGE Psychotherapist/Sole Member 920-884-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 3124-123) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2013-10-04 |