| NPI | 1386593598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NICPON RANDALL Owner/Clinical Director 715-736-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-01-22 |