| NPI | 1982821575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK KALAMBOKIDIS CFO 715-327-4402 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 2074) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-10-22 |