| NPI | 1225485915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL KAUFMAN Director 608-335-1841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 5311-125) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |