| NPI | 1336278548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURGESS CEO, President 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-07-09 |