| NPI | 1245341205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN A DAUTE Co Owner And Clinical Director 608-873-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1453) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3118) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-10-15 |