| NPI | 1962544353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LAUFENBERG Executive Director 608-663-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI HFS 61.91) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-05-20 |