| NPI | 1740458363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GAIL GOODMAN Owner 608-393-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1798-123) |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2022-07-21 |