| NPI | 1851300784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL GREEN Administrator 608-221-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-01-15 |