| NPI | 1457674004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIP H ZIRKEL Psychologist 608-788-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 781) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |