| NPI | 1447673702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET CASSIDY Business Manager/Billing 608-244-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2935-125) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2022-11-03 |