| NPI | 1821141540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE C NOTH Clinic Director 608-637-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1754) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |