| NPI | 1710071501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MAULE Director Of Business Operations 608-692-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-05-08 |