| NPI | 1386810984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E JOHNSTON Director/Owner 715-832-0238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2024-08-12 |