NPI | 1386808384 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAELA YOPPS Clinical Director 608-301-5370 |
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 | 2025-06-03 |