| NPI | 1215519764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKOTA JOSEPH KAISER Executive Director 715-581-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2024-11-14 |