| NPI | 1588956346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT STREYLE CEO Clinical Social Worker 608-738-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WI 2363-123) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |