| NPI | 1487790044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN KREUZER Corporation Member 608-784-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WI 1425) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |