| NPI | 1225541170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA G HALE Owner, Psychotherapist 262-424-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 7870-123) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |