| NPI | 1326212572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE M MILLWOOD Director 715-296-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 42242600) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-08-11 |