| NPI | 1831754167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HARKIN Physician 608-279-6879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2020-12-14 |