| NPI | 1194572305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL LOUCKS Co Director 715-255-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |