| NPI | 1831442359 |
|---|---|
| Former Legal Business Name | BEHAVIORAL HEALTH CLINIC OF WAUSAU |
| Entity Type | Organization |
| Authorized Contact | CHARITY DAWN FANCHER Operations Administrator 715-842-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical (Licence: WI 2632-057) | |
| 103TC0700X Psychologist, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2024-10-08 |