NPI | 1063638088 |
---|---|
Doing Business As | BH OUTPATIENT SERVICES |
Entity Type | Organization |
Authorized Contact | BRANDON VRUWINK Director Human Services 715-421-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 2019) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 2019) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2022-09-09 |