| NPI | 1154670321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD BRAAFLADT Director 715-392-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1926) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |