| NPI | 1003215310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EDWARD GINTZ Owner 608-843-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |