| NPI | 1730376781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY C GARSON Director 715-284-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2260) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |