NPI | 1750409934 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKIE J MAURER Office Supervisor 715-349-7069 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 2404) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2022-08-19 |