| NPI | 1083478374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE RENEE RIDER Psychiatric Nurse Practitioner 715-222-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-12 |