| NPI | 1689740565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD L BICHA Director 715-273-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1737) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |