| NPI | 1083910251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY A HAVERLY Therapist/Owner 715-822-2938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2026-123) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |