| NPI | 1336222769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROETHE Psychologist/Co Director 608-280-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 1919) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2010-10-25 |