| NPI | 1538446828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL CULLEN Owner/Psychiatrist 608-238-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 21235-20) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2012-01-03 |