| 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 |