| NPI | 1710647581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG NEWTON Chief Medical Officer 608-886-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |