| NPI | 1760965024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. CAPPARELLI Executive Director 715-425-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |