| NPI | 1174749725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN MARTIN Therapist 608-356-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 396-44-800) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |