| NPI | 1871057570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARAH SUE GONSTEAD Owner/Lcsw 715-737-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |