| NPI | 1376593442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI B ADANK Cco 608-775-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 291U00000X Clinical Medical Laboratory | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-03-25 |