Organization
SUPERIOR BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA ZAVODNIK (OWNER)
(218) 216-7798
Entity
Organization
Contact information
Practice address
5300 STINSON AVE, SUPERIOR, WI 54880-6313
(218) 216-7798
Mailing address
5300 STINSON AVE, SUPERIOR, WI 54880-6313
(218) 216-7798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
05/17/2023
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