| NPI | 1669292918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA KOENIG-COLSCH Owner 715-765-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |