| NPI | 1871980920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DAWN MYSKA Licensed Clinical Social Worker 715-551-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 7288-123) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |