| NPI | 1962779066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE LINDBERG Owner/Clinical Director 920-915-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 3791-125) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |