| NPI | 1023261211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JOSEPH VANDERMAUSE Clinical Social Worker 608-575-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2249) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |