| NPI | 1770937203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA R PLACEK Owner 608-325-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1556226) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |