| NPI | 1376618157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A BRICKNER Finance Director 715-273-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1737) |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-03-21 |