| NPI | 1689632309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY D ERATH Clinic Director 608-742-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1066) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-07-21 |