| NPI | 1073250437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBERLY MIXON Owner 608-346-8843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2023-04-13 |