| NPI | 1427221837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B JONES Administrative Services Manager 608-757-5204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |