| NPI | 1881806198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID OKEEFE Credential Coordinator 608-316-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-07-21 |