| NPI | 1861592891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE JOHN STEIN Owner 608-785-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 3060-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-09-25 |