| NPI | 1558393009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SAGE Deacon, Executive Director 608-782-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-04-20 |