| NPI | 1386701514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI SIVERLING-BAUER Office Manager 715-834-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2306) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |