NPI | 1396226353 |
---|---|
Entity Type | Organization |
Authorized Contact | SABRINA ROGERS Counselor 920-723-0112 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 074905) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-08-27 |