| NPI | 1124711718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RUSCH Owner/Lpc 715-330-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2025-06-04 |