| Organization Name: | ST CROIX COUNTY |
| NPI Number: | 1225036783 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDY HACKENMUELLER (ADMINISTRATOR) |
| Mailing Address: | 1445 N 4th St New Richmond |
| State: | WI US |
| Postal Code: | 540171063 |
| Phone Number: | 7152466991 |
| Fax Number: | 7152468225 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 2415 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |