| NPI | 1467277491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE KONDRAD CEO, Clinical Director 715-514-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-09-17 |