| NPI | 1598981318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE DECKER Psychotherapist 608-256-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1916) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |