| NPI | 1962603522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN BRIGGS Director Of AO Da Services 608-278-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1053) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-04-05 |