| NPI | 1710942107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ROMENS Clinical Director 608-833-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-05-09 |