| NPI | 1831472083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE HANSON Owner/Program Director 608-606-3776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |