| NPI | 1760525091 |
|---|---|
| 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 |