| NPI | 1568879971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGGORY A SCHARF AO Da Counselor 608-783-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 17055130) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |