| 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 |