| NPI | 1588175889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J WALDEN Director 608-843-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5147-125) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |