| NPI | 1174240493 |
|---|---|
| Doing Business As | SELU |
| Entity Type | Organization |
| Authorized Contact | JALATEEFA JOE-MEYERS CEO 608-618-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |