| NPI | 1215068069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J MOSHER-GARVEY Co Owner 608-827-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-03-07 |