| NPI | 1649829193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BYLER Director 715-342-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2020-05-27 |