| NPI | 1851465546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R SCHMIDT Director 715-273-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1737) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-05-18 |