| NPI | 1518731173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ALLEE-JATTA Director 608-291-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |