| NPI | 1538453584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT COWAN Psychologist 715-393-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 2343-57) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |