| 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 |