| NPI | 1306591052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JULIA HARVAT Lpc 608-975-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2024-12-26 |