NPI | 1801335377 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT SCHUH Owner 608-322-4410 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X (Licence: WI 6361-125) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 6361-125) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 6361-125) | |
Enumeration Date | 2017-02-16 |
Last Update Date | 2017-02-16 |