| NPI | 1568211100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ETHER NORTON Director 715-451-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-07-24 |