| NPI | 1821281577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN T. EIDE Executive Director 608-782-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1241) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2008-04-24 |