| NPI | 1316825532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA SUNDAY NEDEAU Clinical Social Worker 920-744-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |