| NPI | 1194128785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA AUFDERHAAR Owner/Lpc 608-695-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WI E045838) |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2014-09-27 |