| NPI | 1437440930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY BENADETTO Executive Director 715-842-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 261QM0801X) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |