| NPI | 1053468066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SUDMEIER Com PT Roller 608-723-6357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-04-23 |