NPI: 1700817657 · BEAVER DAM, WI 53916 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/06/2006
| Authorized Official | SALASEK, JAMES (CLINIC DIRECTOR) |
| NPI Enumeration Date | 07/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 164 | $5K |