| NPI | 1871932376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES SCHLICHENMEYER President, CEO 608-397-6528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1-12-12292) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |