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 |