| NPI | 1629262340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T MCMAHON Director 715-468-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WI 44009900) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |