NPI | 1801229547 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE QUADE CFO 608-251-4156 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2024-05-16 |