| NPI | 1609009976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURGESS CEO/President 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2010-07-09 |