| NPI | 1174247688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RICE CEO 715-372-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-10-12 |