| NPI | 1225439326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNN DEVINE CEO 920-903-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 221700000X Art Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2025-03-13 |