NPI | 1003488362 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA JOHNSON Owner 608-354-2397 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-15 |
Last Update Date | 2023-02-13 |