| NPI | 1356885339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DEAN COUSINS Director Therapist 715-634-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |