| NPI | 1467937094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN MCDONALD-CONROY Owner 608-769-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2018-09-29 |