| NPI | 1720431877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MAULE Director Of Business Operations 608-692-9495 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2024-05-08 |