| NPI | 1598931248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE ROLLER Director/Owner 608-242-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2486) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |