| NPI | 1689129561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI AYRES Owner, Manager 715-231-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7641-123) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |