NPI | 1205461969 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER A NICHOLS Therapist 608-769-6784 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-03 |