| NPI | 1689048985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL H THOMPSON Co Owner 608-501-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |