| NPI | 1184891152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E JOHNSTON Director/Owner 715-832-0238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2024-08-12 |