| NPI | 1164587150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FAYNIK President/Treasurer 608-276-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-10-25 |