NPI | 1548013972 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN GRACE HECTOR Owner 715-201-4215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-08 |