| NPI | 1295957512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE GHILARDI Office Manager 608-251-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1552) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-12-03 |