| NPI | 1326177940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BOEHM CEO, President 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-12-06 |