NPI | 1548041924 |
---|---|
Doing Business As | WISCONSIN WELLNESS |
Entity Type | Organization |
Authorized Contact | RYAN JOSEPH ROHDE Executive Director 715-281-0612 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2023-10-11 |
Last Update Date | 2024-04-26 |