| NPI | 1851699383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WINTER De PT Of Human Services Director 715-726-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1196) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2013-07-18 |