| NPI | 1013161587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANNE HAUPT Clinic Administrator 715-818-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2025-03-06 |