| NPI | 1235458332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON STAWICKI Administrative Assistant 608-695-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2581-125) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2022-03-31 |