| NPI | 1942352869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W DRUCKENBROD Clinical Director 608-873-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1883) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-06-27 |