| NPI | 1205092210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD HOFFE Owner 608-796-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1007358-1-CDT) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |