| NPI | 1295891349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L LONDON Director 715-675-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2596) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2020-08-22 |