| NPI | 1306323803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HADY Owner/Provider 608-391-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 8466-123) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-07-27 |