| NPI | 1821127424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LAMPRECHT Revenue Billing Specialist Lead 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2024-05-20 |