NPI | 1427088749 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD WAYNE MARTIN Director/Owner 715-365-6696 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 4249-123) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-22 |