| NPI | 1811386618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN NEITZEL Associate Director Business Develop 608-280-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1598) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2016-08-05 |