| NPI | 1033773734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE LYNN MILLER Owner 608-291-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2020-04-09 |