| NPI | 1083837298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GINGRAS Director Business & Operations 715-485-8506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2204) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WI 2222) |
| 251E00000X Home Health | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-04-08 |