| NPI | 1215122668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LYNN PARKE Chief Executive Officer 608-270-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI NCC: 43921) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2024-03-06 |