| NPI | 1619418753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DRAZE CEO/Owner 715-587-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WI 226773) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |