| NPI | 1184746828 |
|---|---|
| Doing Business As | WAISMAN CENTER TIES CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENNETH MOUNT Associate Dean 608-263-4938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-06-18 |