| NPI | 1235263427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A KUYKENDALL Director 608-825-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 621) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-09-04 |