| NPI | 1922014414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD V VERRILL Owner/Clinical Psychologist 608-233-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1251) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |