| NPI | 1417844358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYDNEY M PETERSON Manager 715-529-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |