| NPI | 1457635492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI HAMMOND General Manager 608-638-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |