| NPI | 1194138552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGHAN HENRY Executive Director 608-729-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 893124) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-04-04 |