| NPI | 1568867307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SHANNON-RINK Agency Director 608-723-6357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 2968) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-30 |