| NPI | 1306305941 |
|---|---|
| Doing Business As | BLACK RIVER FALLS PNCC |
| Entity Type | Organization |
| Authorized Contact | SHEILA REUTEMAN Sr. Credentialing Coordinator 414-266-7615 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-05-01 |