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 | 2019-07-08 |