| NPI | 1447289434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B ANDERSON Psychotherapist 262-652-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-03-18 |