| NPI | 1386808384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE POPPE Executive Director 608-838-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 10375-800) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2022-03-16 |