| NPI | 1437106036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J VAN RYBROECK Director 608-301-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: WI 24251-020) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-10-27 |