| NPI | 1124094263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY L WALKER Director Of Finance 608-356-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261Q00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 101YP2500X Counselor, Professional | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-05-09 |