| NPI | 1699701375 |
|---|---|
| Former Legal Business Name | BAD RIVER HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN TUTOR Clinic Administrator 715-682-7133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251K00000X Public Health or Welfare | |
| 122300000X Dentist | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-04-06 |