| NPI | 1043985062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MARESSA PELLEBON Co Executive Director 608-575-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |