| NPI | 1295912475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M. CLEEREMAN Executive Director 715-369-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2009-01-23 |