| NPI | 1730517129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF JOSEPH KUSTER Mental Health Therapist 715-456-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 3241) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WI 3241) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |