| NPI | 1871760504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA BELL Director 608-647-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2581) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |