| NPI | 1699081109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HELEN NIEDEREHE Manager 608-827-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |