| NPI | 1588837074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KOPP TOWNSLEY Director 608-638-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 6737123) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2018-06-15 |