| NPI | 1306123070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RUDA Executive Director 608-784-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1240) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |