| NPI | 1982000154 |
|---|---|
| Doing Business As | WINGS OF EAGLES COUNSELING CLINIC |
| Entity Type | Organization |
| Authorized Contact | LESLIE C OUSLEY Counselor 920-228-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2016-01-26 |