| NPI | 1336981125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCCARTY Clinical Social Worker 608-213-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |