| NPI | 1508513466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L MITCHELL Director/Founder 608-709-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-12-18 |