| NPI | 1265922660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P HARKIN Medical Director 608-279-6879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |