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 |