| NPI | 1114480878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MALECK Lpc, Lmft 608-514-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-08-27 |