| NPI | 1558718874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R NYCZ Director Of Family Health Center 715-387-9137 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |