| NPI | 1205286721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MORROW Lpc 608-669-6908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 5830125) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 5830125) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |