| NPI | 1427144054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY SCHRODER Billing And Credentialing 715-848-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-08-13 |