NPI | 1578263836 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS SCRATTISH Medical Director, Co Owner 608-469-6572 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 207P00000X Emergency Medicine |
251E00000X Home Health | |
251F00000X Home Infusion | |
251J00000X Nursing Care | |
251S00000X Community/Behavioral Health | |
261Q00000X Clinic/Center | |
261QI0500X Clinic/Center Infusion Therapy | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |