| NPI | 1548434616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J EITLAND Director 608-637-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-08-26 |