| NPI | 1518496421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E SEXTON Owner/Administrator 715-214-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2020-02-21 |