| NPI | 1982326369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK S YACKOVICH President 608-215-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-10-30 |