| NPI | 1730748724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY LUBIN Manager And Provider Of Servce 608-579-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |