| NPI | 1528873767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEHMINA ISLAM Director Of Clinic Services 608-445-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |