NPI | 1033659669 |
---|---|
Entity Type | Organization |
Authorized Contact | MELODY RIEDEL Executive Director 608-837-4611 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WI 265-800) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2017-03-01 |
Last Update Date | 2025-04-17 |