| NPI | 1427790138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA RUTH JUMP Psychotherapist 608-389-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-05-21 |