NPI | 1760525091 |
---|---|
Doing Business As | BROTOLOC |
Entity Type | Organization |
Authorized Contact | JOEL D. BREED President 715-832-5085 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1907) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2013-04-12 |