NPI | 1871342949 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE QUADE CFO 608-251-4156 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-05-13 |