| NPI | 1205471281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BABCOCK Board Treasurer 715-384-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2023-02-27 |