| NPI | 1639405996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D FERGUSON Owner/Psychologist 608-848-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1376-057) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |