| NPI | 1306195276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY LOEWE Mental Health & Substance Abuse 608-469-1753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4622-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 4622-125) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |