| NPI | 1932127735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MEDENWALDT Executive Director Of Programs 608-826-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-09-19 |