NPI | 1013458173 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL GAMEZ Executive Director 715-235-4537 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1050) |
Enumeration Date | 2017-03-09 |
Last Update Date | 2017-03-09 |