| NPI | 1417333238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN MCWILLIAMS Director 608-326-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |