| NPI | 1275667636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MURPHY PAYNE Owner 262-554-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 0179) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |