| NPI | 1417605551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A RICHARDS Owner 262-719-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-07-14 |