| NPI | 1063541274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BOEHM CEO, President 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-01-16 |