| NPI | 1942444104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E JOHNSTON Owner 715-832-0238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2859) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |