| NPI | 1831448091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN WARD Clinic Director 608-752-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2023-08-14 |