NPI | 1144768508 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY M PRINTZ Clinical Director, Owner 715-498-5008 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 76140) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |