| NPI | 1821027772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD - BILAL Staff Psychiatrist 608-372-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 47362) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |