| NPI | 1417055617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE HOLLAND Chief Financial Officer 608-443-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WI 37-800) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-08-03 |