NPI | 1285134262 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN A RIPP Sole Proprietor 608-279-4278 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 2554-123) |
Enumeration Date | 2018-02-16 |
Last Update Date | 2018-02-16 |