| NPI | 1518532852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI REBECCA WRIGHT Executive Director 715-536-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |