| NPI | 1497090138 |
|---|---|
| Other Name | GLMC EAST BUILDING |
| Entity Type | Organization |
| Authorized Contact | KARI B ADANK Cco 608-775-8025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2022-03-25 |