| NPI | 1124246095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLAN L MYREN President 715-634-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2025-05-19 |