| NPI | 1467585836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOEHM Chief Program Officer 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-11-22 |