| NPI | 1871731737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE NICHOLAS Supervisor For Mcds 608-441-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WI 1560) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |