| NPI | 1255733994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI FREIBERG Executive Director 608-654-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2020-06-29 |