| NPI | 1316184252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SAGE Executive Director 608-782-0710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |