| NPI | 1992972970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E JOHNSTON Director 715-832-0238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2024-08-12 |