NPI | 1770600413 |
---|---|
Entity Type | Organization |
Authorized Contact | NICK KALAMBOKIDIS CFO 715-327-4402 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 2660) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2010-09-23 |