| NPI | 1558298943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENA ROCHA Owner 715-204-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-07-24 |