| NPI | 1508489899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE OWEN Owner, Lpc 608-977-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |