| NPI | 1528531191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN GILPIN-PARKS Owner/Director Of Clinical Services 608-286-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-09-04 |