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 |