| NPI | 1942864186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BRUNNER Licensed Clinical Social Worker 715-307-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2020-05-08 |