| NPI | 1225282478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN L SMITH President 608-237-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4122-125) |
| 101YM0800X Counselor, Mental Health (Licence: WI 4122-125) | |
| 101YP1600X Counselor, Pastoral (Licence: WI 4122-125) | |
| 101YP2500X Counselor, Professional (Licence: WI 4122-125) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: WI 4122-125) | |
| 251B00000X Case Management | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |