| NPI | 1164054946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LYNN ANDERSON President 608-348-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-05-18 |