| NPI | 1396937009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID JOHNSON President 608-796-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 2267) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |