| NPI | 1336264829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L JOHNSON VISOR Owner 262-886-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 369-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1035-132) |
| 101YP2500X Counselor, Professional (Licence: WI 947-125) | |
| 101YP2500X Counselor, Professional (Licence: WI 521-126) | |
| 101YP2500X Counselor, Professional (Licence: WI 1012-125) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 2254-123) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 2031-123) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-06-16 |