| NPI | 1003449752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ORIEL President/Founder 608-238-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2021-02-04 |