| NPI | 1689825374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M. HENDRICKS Accounts Receivable Manager 715-369-2215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2014-11-19 |