| NPI | 1528426921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNFIER L WARMKA Licensed Clinical Social Worker 608-445-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW12007) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2024-06-25 |