| NPI | 1659453058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M CAILLIER Director 715-836-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 1119) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1119) |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-07-22 |