| NPI | 1043830334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY COLLINS Owner 608-851-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2021-01-22 |