| NPI | 1649638487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE ANEZ Mental Health Therapist 715-497-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 18477) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2017-02-20 |